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CSG SK-SSL-BOX-23 Raymond Gomez 03/16/20 11:35 PAGE 1 Safety-Kl e e n Systems , Inc . CSG SK-SSL-BOX-23 Raymond Gomez 04/09/20 08:53 42 Longwater Drive Norwell. MA 02061 CORPORATE: 800-669-5740 Safety-K l e e n Systems , Inc . 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095453011 42 L9ngwater Drive REFERENCE NBR. Norwell. MA 02061 CUSTOMER# MA42790 Masonite Corporation 82671441-2001405199 CORPORATE: 800-669-5740 340 W Scotts Ave SRVC WEEK: 2020-12 24 HR EMERGENCY: 800-458-1750 (Safety-Kleen) Stockton CA 95203-0000 SRVC DATE: 03/16/20 2095451011 REFEflEW PHONE 209-948-0637 BILL TO CUSTOMER$ BILL To ADDRESS: CUSTOMER# MA42790 Masonite Corporation 82894277-200 340 W Scotts Ave SRVC WEEK: MA42789 Masonite Corporation Stockton CA 95203-0000 SRVC DATE: 0 Pa Box 29038 PHONE 209-948-0637 Hot Springs AR 71903-9038 PHONE 813-739-4003 BILL TO CUSTOMERS BILL TO ADDRESS: PURCHASE ORDER# TAX EXEMPT$ MA42789 Masonite Corporation PRODUCT/SERVICES Po BSp 29036 Hot Springs AR 71903-9038 SERVICE/ TOTAL PHONE 813-739-4003 PRODUCT QTY UNIT PRICE TAX CHARGE PURCHASE ORDER$ TAX EX 8003369 DRUM, 55 GL BLACK STEEL O 2.000 97.0000 17.46 211.46 PRODUCT/SERVICES 3206 BOX FLOR BULBS 4FT 2.000 73.4200 0.00 146.84 3207 BOX FLOR BULBS 8FT S.000 140.5700 0.00 702.85 SERVICE/ TY UNIT PRICE TAX CHAR 83206 CFL1 STRAIT FLUORESCENT -- 1.000 0.0000 0.00 0.00 PRODUCT Q S CONTS: 1 TSDF: S3 MANIFESTS: 54620 FORM CO: BL SHIP# 230954620 1629540/ CNTS: 200312311920 QTY: 10 WT/VOL P PROF# 150228 SKDQT 14815 875460 CSERVICEHAZATERMRDOUS 24 WSOLID 5 1.000 333.7600 R.00 83207 CFL1 STRAIT FLUORESCENT - 4.000 Q.D000 0.00 0.00 EEK # CONTS: 1 TSDF: S1 MANIFESTS: 007440993SKS FORM CO: US SHIP# 231160 SERVICE TERM 24 WEEK 8 CONTS; 4 TSOF: S1 MANIFESTO: 54620 FORM Co: RL SHIP$ 230954620 CMTS: 200488844856 QTY: 100 WT/VOL P PRPFS 1629549 SNDOT 8 CNT$: 200312311916 QTY: 25 WT/VOL P PROF# 150228 SKDQT 14815 1727223/ CNTS: 200312311917 QTY: 25 WT/VOL P PROF# 150228 SKDQT 14815 875952 LBLA-LP ACID BATT FOR REC 1.000 191.0000 0.00 :'CNTS: 200312311918 QTY: 25 WF/VOL P PROF# 150228 SKDQT 14815 S CONTSC1 TSDF: SJ 804882MANQTYST #: 60761 FORM P FORMPROFCD:SL SHIP# 23116 CNT#: 200312311919 QTY: 20 WT/VOL P PROF# 150228 SKDQT 14815 3 SKOOT 1963346/ 1518156/ 875830 EEE 55GL METAL REC CUST S 1.000 363.9700 0.00 363.97 870440 LLF-LP FOR LAND FILL SSGL 1.000 519.0000 0.00 # CONTS: 1 TSOF: S3 MANIFEST$: 54620 FORM CD: 8L SHIP$ 230954620 # CONTS: I TSDF: 53 MANIFEST#: 007440993SKS FORM CD: US SHIP# 231160 CNTS: 200313325374 QTY: 40 WT/VOL P PROF# 1518156 5KDOT 8008086 CNTS: 200408804858 QTY: 100 WT/VOL P PROF# 1%3346 SMOOT 8 1963344/ 2000421/ 875485 CMOS TOTE NON HAZ SEMI SL 3.000 564.3900 0.00 1693.17 875463 CNO-NON HAZARDOUS SOLID 5 1.000 200.0000 0.00 # CONTS: 3 TSOF: BL MANIFESTS: 007439638SKS FORM CD: US SHIP# 230954640 $ CONTS: 1 TSDF: S) MANIFEST#: 00744099ISkS FORM CD: US SHIP# 231160 CNT#: 200313322884 QTY: 200 WT/VOL P PROF$ 1963344 SKDQT 8781138 CNT$: 200408804860 QTY: 20 WT/VOL P PROF# 2000471 SKDQT CNT#: 200313322885 QTY: Zoo W'T/VOL P PROF$ I963344 SKDQT 8781138 1629549/ CNT$: 200313322886 QTY: 200 WT/VOL P PROF$ 1%3344 SKOOT 8781138 875465 CNO-NQN HAZARDOUS SOLID C 2.000 1304.0000 0.00 2 $ CONTS: 2 TSDF: 51 MANIFEST#: 007440993SKS FORM CO: US SHIPS 231160 1963346/ 870440 LLF-LP FOR LAND FILL SSGL 1.000 O.000O 0.00 0.00 CNT#: 200408804854 QTY: 500 WI/VOL P PROF# 1629549 SKDQT 8 CAUSE CODE VOIDHEADERANDLXNE -SERVICE NOT NEEDED CNT#: 200408804855 QTY: 500 WT/VOL P' PROF# 1629549 SKDOT 8 3637 BOX, 1 YARD 5 WALL CORRUG 3.000 162.0000 43.74 529.74 /S 1,000 14.8400 1.34 15416 PDRUM, 15AIL, 5 GGLBLACK POLY BLACK POLY WOH 1.000 34.0000 3.06 SERVICE TERM 24 WEEK 1518158/ 8003369 DRUM, SS GL BLACK STEEL 0 1.000 97.0000 8.73 875122 LCCRQ I5GL LP AEROSOLS FO 1.000 250.D000 0.00 250.00 3207 BOX FLOR BULBS 8FT 1.000 140.5700 0.00 S CONTS: 1 TSDF: S1 MANIFEST#: 54620 FORM CD: BL SHIP$ 230954620 83207 CFL1 STRAIT FLUORESCENT - 1.000 0.0000 0.00 CNT#: 200313322840 QTY: 10 WT/VOL P PROF# 1518158 SKDQT $008088 # CONTS: 1 TSDF: Sl MANIFESTS: 60761 FORM CO: BL SHIPS 231160 3324 DRUM, 16 GL BLACK STEEL 0 1.000 53.0000 4.71 57.77 CNT#: 200408804884 QTY: 10 WT/VOL P PROF$ 150228 SKOOT 100030 RECOVERY FEE 1.000 80.0000 7.20 87.20 100030 RECOVERY FEE 1.000 79.0000 7.11 100065 E-Manifest Fee 2.000 2o.o000 0.00 40.00 100055 E-Manifest Fee 2.000 20.0000 0.00 3230 TAX HANDLING N/C DRUM DROP 30 7.000 0.00000.00 0.00 3230 TAX HANDLING N/C DRUM DROP 30 1.000 0.0000 0.00 --------- ---- ---_-------------'---------_--_--- -------�--- - TOTAL SEIMW CE/PROCTS 1804.3500 73.17 4083.00 TOTAL SERVICE/PRODUCTS 2938.1700 20.24 4 TOTAL CHARGE 4083.00 TOTAL CHARGE 47 CREDITS 0.00 CREDITS -----------_ -------- TOTAL DUE 4083.00 TOTAL DUE 47 UNPAID BALANCE THIS RECEIPT 4083.00 UNPAID BALANCE THIS RECEIPT 4287.41 Per BOG 0250-001 Customer has completed the Customer Packing Certification Form. GENERATOR STATUS Q-ZZO lbs/month GENERATOR STATUS Customer certifies that (i) the above-named materials are properly 0-220 lbs/month classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Customer certifies that (i) the above-named materials are properly Department of Transportation (ii) no material change has occurred classified, packaged, marked and labeled, and are in proper condition either in the characteristics of the waste/material or in the process for transportation according to the applicable regulations of the generating the waste/material, and (iii) the above referenced Department of Transportation (ii) no material change has occurred Generator Status is correct. Customer agrees to pay the above charges either in the characteristics of the waste/material or in the process and to be bound by the terms and conditions (1) set forth in (a) the generating the waste/material, and (iii) the above referenced General Terms and Conditions provided separately to Customer or (b) Generator Status is correct. Customer agrees to pay the above charges any SA agreement signed by Customer and SK. and (2) incorporated and to be hound by the terms and conditions (1) set forth in (a) the herein by reference. Unless otherwise indicated in the payment General Terms and Conditions provided separately to Customer or (b) received section. SK is authorized to charge Customer's account for any SK agreement signed by Customer and SK, and (2) incorporated .c.. .....,...., Ti r_-_ t.;j. ♦o du. herein by reference. Unless otherwise indicated in the payment received section. SK is authorized to charge Customer's account for this transaction. If Customer fails to make payment when due, an amount equal to the lesser of (i) 1.5% per north (181 per annum) or (ii) the maximum amount allowed by law. will be added to all unpaid amounts outstanding. Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind Customer. Customer acknowledges that it is responsible for maintaining its Generator Status and obtaining an EPA ID number if required by applicable law. The following provision is applicable to Safety-Kleen's parts cleaner and paint gun cleaner services: Customer agrees that it will not introduce any substance into the solvent or aqueous cleaning solution, including without limitation any hazardous waste or hazardous waste constituent, except to the extent such introduction is incidental to the normal use of the machine. Customer