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CSG SK-SSL-UMO-01 Joseph R Lima Jr 03/19/18 10:12 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 FIR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# CE22404 Cencal Recycling 76420415 <br /> 501 Port Road 22 SRVC WEEK: 2018-12 <br /> Stockton CA 95203-2909 SRVC DATE: 03/19/18 <br /> PHONE 209-606-3646 <br /> BILL TO CUSTOMER# BILL TO ADDRESS; <br /> CE22404 Cencal Recycling <br /> 501 Port Road 22 <br /> Stockton CA 95203-2909 <br /> PHONE 209-606-3648 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 10256 FEE, OTI, SERVTCE/STOP NON 1.000 215.0000 0.00 2.15.00 <br /> SERVICE TERM 24 WEEK <br /> 66636 USED OIL RECYCLE AUTOMOTI 180.000 0.3900 0.00 70.20 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> -------------- ---------- <br /> TOTAL SERVICE/PRODUCTS 215.3900 0.00 285.20 <br /> TOTAL CHARGE 285.20 <br /> CREDITS 0.00 <br /> -------------- <br /> TOTAL DUE 285.20 <br /> UNPAID BALANCE THIS RECEIPT 285.20 <br /> If high risk source, rep. certifies that load specific PCB & Silicon <br /> testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change has occurred <br /> either in the characteristics of the waste/material or .in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions provided separately to Customer or (b) <br /> any SK agreement signed by Customer and SK, and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SK is authorized to charge Customer's account for <br /> this transaction. If Customer fails to make payment when due, an <br /> amount equal to the lesser of (1) 1.55 per month (188 per annum) or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Customer certifies that the individual signing <br /> this Service Acknowledgement; is duly authorized to sign and bind <br /> Customer. Customer acknowledges that it .is responsible for maintaining <br /> its Generator Status and obtaining an EPA ID number if required by <br /> applicable law. The following provision is applicable to <br /> Safety-Kleen's parts cleaner and paint gun cleaner services: Customer <br />