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INVOICE TO SITE LOCATION <br /> CUSTOMER Associated Tractor SAE Assoc. Tractor (Manifested) REPUBLIC <br /> ❑ <br /> AT r"' Ao*'`''r 1323' W Charter Wy SERVICES <br /> 1323 W Charter wy <br /> ADDRESS CITY Stockton '_;7AIF CA Customer Service Agreement <br /> ztCME 95206 AGREEMENT <br /> NUMBER <br /> nirr Stockton ST Art]CA TEL.lra.(209) 898-4671' FAx lila. <br /> ZIP COLS 952D6 AYrH6n17r(` Jen UTL[ CSS2 AccouhT NtIAiBEN ... <br /> T>:1..110 (209) 466-3003 h' Caerau Larry BQrelh TrrLE <br /> E•t1iA1L lborel[iDl@gmail,Cam <br /> •" lam. -tn I 6._ L 'wwt ;�(,'' fA M Sr9i'.t•i.'z?A S JiU SK 5,11== LCE 111041St VM KV"Mr f"ECpr WWW Ghia FJI—Aw rC1LIV WK <br /> ROJ 10YD 1 I x FWD4 378.00 DEL 125.00 <br /> Q <br /> 0 <br /> i <br /> 1 1 1•'F- f- E: I ' [ 1 F 1 1pt DMISlgoed todividell EtgMng ml;Aalgemtnt 0 k*If ill r,�}rQ[1{er i4Y ptlAedpET 114r AE p7 fhtl had read and pR4AiSil>eki 1kt CL(rlA d cp�iFaaln d tills <br /> llpri tn1 la;I pear Ip!A19 Fhtl•ulhati t ga Aaf!! !111 com=Mr. � r� SA <br /> HENEIAAFrERrt�FI:F'#RERTCiA9Ti�"C+CYAr1lA4{Y" ` , /. <br /> �� _ ilA <br /> .a 13Y. 137 i.LW� RC1 X1741G..�I ^ f f1 / �� <br /> COMMENTS <br /> Manifested Disposal (tonnage)will be billed on a separate TEAMS AND CONDITIONS <br /> aCCount through Forward,Inc. I SERVICES. Customer grants to Company the exclusive right to collect and dispose of all of Customer's non- <br /> hazardous solid waste materials (including recyclables) (collectively, 'Waste Materials'), and Company agrees to <br /> lumish such services. <br /> TERM- THE-1 IIRkI,'HA1 TC,n,tl t'SC_'Tx�t(�`..lt r�rtf,^M L DATE l' F THIS AT_[]IF CkIIR RN4:—A4P <br /> Rate based nn lbsWd t:lE LTC THS TI 1 EAFTTR. THIS_At �,IV' 3 l Al LTQMATIGAI I V FB�E-NF4V—FQf4 <br /> 86GGESSIVE <br /> M&l PILL-9p_`l_�.r_r99 ElTLIE+H� ART*-`+ _WR ll3FNATli'N:FG <br /> _ • • • THE OT-1068 AT LEAST 60 r1Avt+ Tl.l�[-tJe�_f�C�LJ� TU Cty�Trs`��AI��T�ri� Tw•'V A'^Tr'R�_E �CTs-J <br /> DOES FACILITY HAVE A HAZARDOUS WASTE GENERATOR I.D. NUMBER? TE41MINA�ION l'�,,,."E,ER t;tg qGH oEMC��iSC'-Y�!! C TJ�YY — R�C�Sf�p+ TKt el A�^Vs TYJL—Vrr� <br /> E Ct7 <br /> I.O. _ M 16,RETURN RN RECEIPT RECKJFSTEQ-,AN0-AGT44A66V RFnvcPt�Et t Y- <br /> n NUMBER I I I I l I 1 I I f 1 'YES NO <br /> - WASTE MATERIALS. The Waste Materials shall not contain any hazardous materials,wastes or substances,toxic <br /> rr:rnxltl.utpLz1 .'v�r� u:s= ararrc �w,1r;v;.L ss�1 rx,lsaaysr substances,wastes or pollutants;M pollutants;contaminants; infgctinus wastes,medical wastes;or radioactive wastes <br /> (collectively,"Excluded Waste'),each as defined by applicable federal.state or local taws or regulations(collectively, <br /> 3o rxlxra2R EPrclr3 x+tcE rsc .x :}I L¢a sc s; as La $.r;. 'Applicable Laws"), Customer shall indemnify, defend and hold harmless Company from and against any and all <br /> claims, damages, wits. (including� g penalties. Sines. remediation casts, and liabilities Inciudin court costs and reasonable <br /> attorneys'tees)("collectively,'Losses")resulting from the inclusion of Excluded Waste in the Waste Malanals_ <br /> u TERHnDRY' S>;EiSNEIY&'Sfk?AiNE 1A7 t=Rlc `il ilclils'SKH A"diMFR '?AViD:vF- 05xSn'i r.'t'� LpV�A <br /> c TITLE. Company shall acquire title to Waste Materials when they are loaded into Company's truck. Title to and <br /> aabiliry for any Excluded Waste shall remain with Customer and shall at no time pass to Company. <br /> AC111W W C1?eI1 T kE'�53 k CK; tlHl1' CAIiUw"i A"r'F'tiWAI ;1iTE w It'! wi <br /> CONTINUED ON REVERSE <br /> SLS 01512081 CA 12147 <br /> FILE COPY <br />