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C0 SK 55L -BOX -23 Raymond Gomez 06/08/18 13:19 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 HR EMERGENCY: 800-468-1764 (Safety-K1e011)
<br />2095451011
<br />REFERENCE NBR.
<br />76970711-1802637956
<br />SRVC WREK: 2018-22
<br />SRVC DATE: 06/08/18
<br />CUSTOMER# ST42948 Stockton Oelta Resort, LLC
<br />14900 W Highway 12
<br />Lodi CA 95242-0000
<br />PHONE 209-283-1589
<br />BILL TO CUSTOMER# BILL CountyofADDRESS:
<br />SA32681 San )oaquin DPW/Solid Waste
<br />1810 E Hazelton Ave
<br />Stockton CA 95205-6232
<br />PHONE 909-947-9383
<br />PURCHASE ORDER#
<br />PRODUCT/SERVICES
<br />TAX EXEMPTA
<br />TOTAL CHARGE 861.33
<br />CREDITS 0.00
<br />-
<br />TOTAL DUE 861.33
<br />UNPAID BALANCE THIS RECEIPT 881.33
<br />GENERATOR STATUS
<br />o-220 lbs/month
<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 Tran;portation (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 rid SK, and (2) incorporated
<br />herein by reference. Unless otherwise indicated in the Payment
<br />received section, SK is authorized to charge Custemer•m account for
<br />this transaction. if Customer fails to make payment when due, an
<br />amount equal to the lesser of (i) 1.596 per month (18% per annum) or
<br />(ii) the maximum amount allowed by law, will bedded 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.folldwing provision is applicable to
<br />5af6ty=Klben1s parts cleaner and -paint gun cleoner services: Customer
<br />agrees that it will not introduce any substance into the solvent or
<br />aqueous cleaning solution, including without limitation any hazardous
<br />waste 0r hazardous waste constituent, except to the extent such
<br />introduction is incidental to the normal use of the machine. Customer
<br />further agrees that it will not clean parts/paint guns that have been
<br />contaminated with or otherwise introduce polychlorinated biphenyls
<br />01C81s), herbicides, pesticides, dioxins or listed hazardous waste
<br />into the solvent or aqueous cleaning solution. Safety-Kloan has the
<br />capacity null is permitted to accept, store, and/or reclaim the spent
<br />parts washer solvent; Paint thinners, solvents and paints generated by
<br />customer; or dry cleaning filter cartridges, powder, and still
<br />residues containing perelrloroethylene. petroleum naphtha, or
<br />triflurotrichloroothane dry cleaning solvents. Customer agrees that it
<br />is responsible for properly classifying its waste streams as Used Oil
<br />or Nonhazardous Waste in_accordance with the provision of 40 CFR______
<br />2eL 11 and applicable state law9. Customer agrees that it will not
<br />introduce any non -conforming substance -into the SK Property,
<br />including, without limitation. any hazardous waste or hazardous waste
<br />constituent,(i.e., polychlorinated biphenyls C'PCBS"), herbicides,
<br />pesticides, dioxins, or listed hazardous wastes) except to the extent
<br />such introduction is incidental to the normal use of the SK Property.
<br />in the event of the introduction of such non -conforming hazardous
<br />waste, Customer agrees that it will be responsible for all costa and
<br />remediation expenses related to or arising from the proper management
<br />and disposal of the non -conforming waste, including the cost of
<br />equipment decontamination and subsequent disposal. Final invoicing
<br />will be based on the actual services provided, which may include
<br />additional charges for off specification waste and surcharges. Final
<br />.tie- th. --v 19ernd on the printed
<br />TOTAL
<br />SERVICE/
<br />UNIT PRICE
<br />TAX CHARGE
<br />PRODUCT QTY
<br />1647100/
<br />875460 CNO-NON MAZARBOUS SOLID 5 2.000 249.9600 0.00 499.92
<br />FORM Co.. US S PgSMOOT60914
<br /># [ONT5�#. �524603597MAq FE5150.00658�PROF# 1G471OO
<br />8297121
<br />CNT#: 180524603595 ATP: 150 WT/VOL P PROF# 1647100
<br />SKDOT 8297321
<br />83383 DRUM,55 WASTE O.F. 2.000 55.0000
<br />10.0000
<br />0,00 110,00
<br />0.00 30.00
<br />3383 OMN,S5 GAL FOR O.F. 3.000
<br />3.000 10.0000
<br />2.33 32.33
<br />8003369 DRUM, 55 GL BLACK STEEL 0
<br />7207 MAT, SINGLE WST OIL 16" X 2.000 ft. (WOO
<br />12.56 174.56
<br />SERVICE TERM 24 WEEK
<br />100001 FEE, FUEL SURCHARGE 1.000 13.4800
<br />1.04 14.52
<br />3130 TAX HANDLING N/C DRUM DROP 30 3.000 0.0000
<br />- -- -- ---------------------
<br />0.00 0.00
<br />__ ----
<br />TOTAL SERVICE/PROOUCTS 419.4400
<br />15.93 861.33
<br />TOTAL CHARGE 861.33
<br />CREDITS 0.00
<br />-
<br />TOTAL DUE 861.33
<br />UNPAID BALANCE THIS RECEIPT 881.33
<br />GENERATOR STATUS
<br />o-220 lbs/month
<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 Tran;portation (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 rid SK, and (2) incorporated
<br />herein by reference. Unless otherwise indicated in the Payment
<br />received section, SK is authorized to charge Custemer•m account for
<br />this transaction. if Customer fails to make payment when due, an
<br />amount equal to the lesser of (i) 1.596 per month (18% per annum) or
<br />(ii) the maximum amount allowed by law, will bedded 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.folldwing provision is applicable to
<br />5af6ty=Klben1s parts cleaner and -paint gun cleoner services: Customer
<br />agrees that it will not introduce any substance into the solvent or
<br />aqueous cleaning solution, including without limitation any hazardous
<br />waste 0r hazardous waste constituent, except to the extent such
<br />introduction is incidental to the normal use of the machine. Customer
<br />further agrees that it will not clean parts/paint guns that have been
<br />contaminated with or otherwise introduce polychlorinated biphenyls
<br />01C81s), herbicides, pesticides, dioxins or listed hazardous waste
<br />into the solvent or aqueous cleaning solution. Safety-Kloan has the
<br />capacity null is permitted to accept, store, and/or reclaim the spent
<br />parts washer solvent; Paint thinners, solvents and paints generated by
<br />customer; or dry cleaning filter cartridges, powder, and still
<br />residues containing perelrloroethylene. petroleum naphtha, or
<br />triflurotrichloroothane dry cleaning solvents. Customer agrees that it
<br />is responsible for properly classifying its waste streams as Used Oil
<br />or Nonhazardous Waste in_accordance with the provision of 40 CFR______
<br />2eL 11 and applicable state law9. Customer agrees that it will not
<br />introduce any non -conforming substance -into the SK Property,
<br />including, without limitation. any hazardous waste or hazardous waste
<br />constituent,(i.e., polychlorinated biphenyls C'PCBS"), herbicides,
<br />pesticides, dioxins, or listed hazardous wastes) except to the extent
<br />such introduction is incidental to the normal use of the SK Property.
<br />in the event of the introduction of such non -conforming hazardous
<br />waste, Customer agrees that it will be responsible for all costa and
<br />remediation expenses related to or arising from the proper management
<br />and disposal of the non -conforming waste, including the cost of
<br />equipment decontamination and subsequent disposal. Final invoicing
<br />will be based on the actual services provided, which may include
<br />additional charges for off specification waste and surcharges. Final
<br />.tie- th. --v 19ernd on the printed
<br />
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