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4 SG SK -SSL 116-P1 ]oseph R Lima 7r 09/21/18 08:55 PAGE 1 Safety -M een Systems, Inc. 2600 N Central Expy, SUite 200 Richardson, TX 75080 CORPORATE: 800-669-5740 24 HR EMERGENCY; 800-468-1760 (Safety-Kleau) 2095451011 REFERENCE NBR. USTOMER# ST42948 Stockton Delta Resort. LLC 77867149-1804536487 14900 W Highway 12 SRVC WEEK: 2018.36 Lodi CA 95242.0000 SRV{ DATE: 09/21/18 PHONE 209-283-1589 ILL 70 CUSTOMER# BILL TO ADDRESS: A32681 County of San 3oaquin DPW/Solid Waste 1810 E Hazeitan Aire Stockton CA 95205-6232 PHONE 909-947-9363 URCHASE ORDER# 9-21-18 TAX EXEMPT# PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 0256 FEE. OIL SERVICF./STOP NON 1.000 145.0000 0.00 145.00 SERVICE TERM 8 WEEK 6535 USED OIL RECYCLE AU70MOTI 110.000 0.4900 0.00 53.90 SERVICE TERM 8 WEEK HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 AOo3O RECOVERY FEE 1.000 0.0000 0.00 0.00 -------------- ^------------------------- TOTAL SERVICE/PRODUCTS 145.4900 0.00 198.90 TOTAL CHARGE 198.90 CREDITS 0.00 TOTAL DUE --._---198.90-- ��..� aoac�s UNPAID BALANCE THIS RECEIPT 198.90 [f high risk source, rep. certifies that land specific P[B a Silicon testing have been completed prior to pumping this load. ;ENERATOR STATUS .Esgti- Vehicle :ustamer certifies that (i) the above-named materials are properly classified, packaged. marked and labeled, and are in proper condition For transportation according to the applicable regulations of the 3epartment of Transportation (ii) no material change has occurred either in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees to pay the above charges and to be bound by the terms and conditions C0 set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any Si( agreement signed by Customer and SK. and (2) incorporated herein by reference. Unless otherwise indicated in the payment received sectiion.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 (1) 1.5% per month (1896 per annum) or (ii) the maximum amount allowed by low, will he 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-Kleeu'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..;wpsxq ps iYueaR .; except-ta -the: extent such introduction is incidental to the normal use of the machine. Customer further agrees that it will not clean parts/paint guns that have been contaminated with or otherwise introduce polychlorinated hiphenyls (PCB's), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Mleen has the capacity and is permitted to accept, store, and/or reclaim the spent parts washer solvent, paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges, powder. and still residues containing perchloroethylene, petroleum naphtha, or trifluretrichloreethane dry cleaning solvents, Customer agrees that it is responsible for properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance with the provision of 40 CFR 262.11 and applicable state laws. Customer agrees that it will not introduce any non -conforming substance into the SK Property, including, without limitation, any hazardous waste or hazardous waste coustituent,(i.e.. polychlorinated biphenyls ("PCBs"). herbicides. :pestpesticides, dioxins, or listed hazardous wastes) except to the extent icides, introduction is incidental to the normal use of the SK Property. in the event of the introduction of such non -conforming hazardous waste, Customer agrees that it will be responsible for all costs and remediation expenses related to or arising from the proper management and disposal of the non-canforming waste, including the cost of equipment decontamination and subsequent disposal. Final invoicing will be based on the actual services provided, which may include additional charges for off specification waste and surcharges. final invoice amount may be more than the mount listed on the printed receipt. If any legal action is commenced because of an alleged dispute, breach, default or misrepresentation, the Customer also