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CSG SK-SSL-UMO-01 Joseph R Lima Jr 10/17/19 08:55 PAGE 1 Safety-Kleen Systems, Inc. 2600 N Central Expy, Suite 200 Richardson, TX 75080 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 TOTAL CHARGE 120.00 CREDITS 0.00 --------------- TOTAL DUE 120.00 --------------- UNPAID BALANCE THIS RECEIPT 120.00 If high risk source, rep. certifies that load specific PCB & Silicon testing have been completed prior to pumping this load. GENERATOR STATUS CESQG: Vehicle Customer 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 Department 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 (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated 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 month (18% 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 Page 25 REFERENCE NBR. CUSTOMER# ST42948 Stockton Delta Resort, LLC 81353530-1905462138 14900 W Highway 12 SRVC WEEK: 2019-42 Lodi CA 95242-0000 SRVC DATE: 10/17/19 PHONE 209-283-1589 BILL TO CUSTOMER# BILL TO ADDRESS: SA32681 County of San Joaquin DPW/Solid Waste 1810 E Hazelton Ave Stockton CA 95205-6232 PHONE 909-947-9363 PURCHASE ORDER# 54947 TAX EXEMPT# PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 10256 FEE, OIL SERVICE/STOP NON 1.000 120.0000 0.00 120.00 SERVICE TERM 12 WEEK 66636 USED OIL RECYCLE AUTOMOTI 210.000 0.0000 0.00 0.00 SERVICE TERM 12 WEEK HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 ----------------------------------------- TOTAL SERVICE/PRODUCTS 120.0000 0.00 120.00 TOTAL CHARGE 120.00 CREDITS 0.00 --------------- TOTAL DUE 120.00 --------------- UNPAID BALANCE THIS RECEIPT 120.00 If high risk source, rep. certifies that load specific PCB & Silicon testing have been completed prior to pumping this load. GENERATOR STATUS CESQG: Vehicle Customer 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 Department 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 (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated 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 month (18% 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 Page 25