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tenni <br />Safety-Kleen Systems, <br />Inc. <br />42 Lengwater Drive <br />Norwell, HA 02061 <br />CORPORATE; 800-669-574D <br />24 HR EMERGENCY: ILOO-468-1760 (Safety-Kleen) <br />2095491011 <br />REFERENCE NOR <br />CUSTOMER# ST43054 Stockton Delta Resort <br />82778554-200161743 <br />14900 WAiyhway 12 <br />SRVC WEEK: 2020-1 <br />Lodi CA 95242 -OM <br />SRVC DATE: 03/25/2 <br />PHONE 209-283-1589 <br />BILL TO CUSTOMER# BILL TO ADDRESS: <br />ST43054 Stockton Delta Resort <br />14900 W Highway 12 <br />Lodi CA 95242-0000 <br />' PHONE 209-283-1589 <br />PURCHASE ORDER# <br />TAX EXEMPT# <br />PRODUCT/SERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT QTY UNIT PRICE <br />TAX CHARGE <br />83383 ORUM,SS WASTE O.F. 1.000 80.0000 <br />0.00 80.00 <br />1667003/ <br />875460 CNO-NON HA°LAROOUS SOLID 5 2.000 262.0000 <br />0.00 524.00 <br /># CONT5: 1 TSDF: 51 MANIFEST#: 007439819SKS FORM CO. US <br />SHIP# 231050382 <br />CNT#: 200324544915 QTY: 250 WT/VOL P PROF# 1661003 <br />SKOOT 8342012 <br />3383 DRUM,55 GAL FOR O.F. 1.000 10.0000 <br />0.00 10.00 <br />100030 RECOVERY FEE 1.ODO 49.1200 <br />0,00 49.12 <br />3230 TAX HANDLING N/C DRUM DROP 30 1.000 . 0.0000 <br />0.00 0.0 <br />---------------------------------------- <br />70TAL SERVICE/PRODUCTS 401,1200 <br />0.00 663.12 <br />TOTAL CHARGE 663.12 <br />CREDITS 0100 <br />--- <br />TOTAL DUE 663.12 <br />UNPAID BALANCE THIS RECEIPT 663.12 <br />GENERATOR STATUS <br />0-220 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 />O. for transportation according to the applicable regulations of the <br />Department of Transportation (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 and SK, and (2) incorporated <br />herein by reference. Unless otherwise indicated in the payment <br />received section, SK is authorized to charge Customer's account for <br />this transaction. If Customer fails to make payment when due, an <br />amount equal to the lesser of (1) 1.351 per month (1895 per annum) or <br />(ii) the maximum amount allowed by law, will be added 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 IO number if required by <br />applicable law. The following provision is applicable to <br />Safety-Kleen's parts cleaner and paint gun cleaner 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 or 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 />0"'s), herbicides, pesticides, dioxins or listed hazardous waste <br />into the solvent or aqueous cleaning solution. Safety-Klaen has the <br />capacity and 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 perchloroethylene, 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 />262,11 and applicable state laws. Customer agrees that it will not <br />introduce any nen-conforming substance into the SK Property, <br />including, without limitation, any hazardous waste or hazardous waste <br />constituent. O .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 casts 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 />invoice amount may he more than the amount listed on the printed <br />receipt. If any legal action is commenced because of an alleged <br />dispute, breach, default or misrepresentation, the Customer also <br />agrees that the prevailing party will be entitled to recover <br />reasonable attorney's fees and costs associated with the <br />non -conforming contamination eventSafety-Kleen's failure to screen <br />Customer's material or take a retain sample, in no way constitutes a <br />waiver of Customer's ohlinmtinn to nrnnenly 1 ­ if. i*s _t-.14. <br />