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RECEIVED <br /> 20, <br /> ENVIRONMENTAL HEALTH <br /> BRANCH SSL CSG 24 Anthony Romero 02/19/15 15:38 Q,PIARTM ENT <br /> S ety41,een Systems , Inc. <br /> 2600 N Canal xgy, Suite 400 <br /> Richardson,TX' 75080 <br /> CORPORATE: 800-669.5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NOR. <br /> CUSTOMER# 5129608 Stockton Rubber Mfg Co Inc 65869640 <br /> 5023 N Flood Rd SRVC WEEK: 2015-8 <br /> Linden CA 95236-94SS SRVC DATE: 02/19/15 15:38 <br /> PHONE 209-887-1172 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> ST29808 Stockton Rubber Mfg Co Inc <br /> 5023 N Flood Rd <br /> Linden CA 95236-9455 <br /> PHONE 209-887-1172 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 8003369 DRUM, 55 GL BLACK STEEL'0 2.000 67.6100 10.82 146.04 <br /> SERVICE TERM 12 WEEK <br /> 691746/ <br /> 875460 NON HAYARUOUS SOLID SSGL 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 8 WEEK <br /> CAUSE CODE voidHeadarAndtine -SERVICE NOT NEEDED <br /> 100001 FEE, FUEL SURCHARGE 1.000 12.4800 1.00 13.48 <br /> ----------------------------------- <br /> TOTAL <br /> ------- ------•----..__..TOTAL SERVICE/PRODUC7S 80.0900 11.82 159.52 <br /> TOTAL CHARGE 159.52 <br /> CREDITS 0.98 <br /> --------------- <br /> TOTAL DUE 159.52 <br /> UNPAID BALANCE THIS SECLIPT 159.52 <br /> GENERATOR STATUS <br /> 0-220 lbs/nienth <br /> Custm::er aer•L-ifies that (i) the above-natied materials arm properly <br /> class46.l, packegur <br /> ad, urked and lahvlyd, wind era ir. p,•vper rurrrlit Wn <br /> For. trauspurtation accorainu to the applicable regulations of tire <br /> Depwir hi,vot of Tre„%purlal ion and (ii) na a Ier lel dmnyr ha% ura urrrd <br /> either in the lllar•at.ter i*ti6i or the waste/nrater•ial or in the prucess <br /> 'general*."% the waste/nrrlerial. Customer agrees to pay the above <br /> charges and to be bound by the ternn and cunditinns (1) set Forth in <br /> (* the General Teram% aril Conditions provided skparately to Cnstmner <br /> or %) any SK agreement signed by Customer and SK, and (2) <br /> ineur•poratud hermin by reference. Unless other+Aism indicated it, the <br /> pays-mt reco4vrd wottion, SN J. to charge: Costomrr's <br /> account for Ilii+ fran,.a,i i«n. Co%lon.,.r tl•,.t the ind;t•iaadt <br /> eigp,img i!. .e...• .Lm..irdge.,wnr i- 40- wine:.., -_.1 r.. ;.J. -I . <br /> bind Custoamr. The f91luwing proviriun is applicable to Safety-Kleen's <br /> pnrt• cleaner and joN,Inl ynn cleanpr %prvlrp%t Cu�tomwr agree% that -II <br /> will not introduce any suhstaAce inty the sulanr-rt or talwous cleaning <br /> ►olution; including wIthuat limitation any haaardous waste or <br /> hawardoa% w►ta .na%liturar, rc.rpi 1.. llw rete-t: .,ah intrad- lion is <br /> incidental to the normal one of the machine. Custu:ner further agrees <br /> that it will out clean parts/paint guns that have been contaminated <br /> with or otherwise introduce polychlorinated biphenyls tPCB's). <br /> herhichies, 10.411419es, diacin% or 161ed hoaard-u% wa%te into the <br /> solvent or aqueous cleaning solution. Safety-K1een has 01a capacity <br /> and is permitted to accept, store, wild/or reclaim the spent parts <br /> washer solvanti.paint Lhinners, solvents and paints generated by <br /> custuamr; or dry cleaning filter cartridges, powder, and still <br /> residues containing perdAorrethylame, petroleun naphtha, or <br /> IriClarutriahlarvrthrrua dry cleaning volwnts, rn%tvo.er ..erre% that it . <br /> tis rrspun%ibl- fur properly cla%%ify'ing its waste stream as Used Oil <br />