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CSG SK-SSL-SOX-24
<br /> 0a" - - arrvl7 04/10J19 11:41 RAGE 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 BTERGENCY! 800-468-1760 [Safety-Kleen]
<br /> 20954S1411
<br /> CUSTOMER# CA47950 Cal Trans Shap 10 Cw, REFERENCE NRR,
<br /> 2005 Krohn Rd 79747310-190IM0701
<br /> Tracy' CA 95377-9120 SRVC WEEK: 2019-IS
<br /> PHONE 209-835-6779 SRVC DATE: 04/1e/19
<br /> KILL TO CUSTOMER# BILL TD ADDRESS;
<br /> CA47769 Caltrans Cws
<br /> Po Box 1632
<br /> Stockton CA 9521)1-3038
<br /> PURCHASE ORDERi PRONE 209-948-7815
<br /> seRVICEJ PRODUCT/SERVICEs TAx QxENPT#
<br /> PRODUCT TOTAL
<br /> 83383 DRUM,5i WAs-E O.F, QTY UNIT PRICE TAX CHARGE
<br /> SERVICE TERM I2 WEEK 1.000 45.0000 0.00 45,00
<br /> F CDNTS; 1 c TAO
<br /> l904
<br /> Ch7Y: 19040MANIFEST#: 00704017ISKS FORM CD: HS SHIP# 228172872
<br /> 9678552
<br /> 3383 QTY: EDD 4r/VOL P PROF* x56033
<br /> ORL0155 5x007 7872678
<br /> , GAL FOR Q.F.
<br /> SERVICE TERN 12 WEEK 1.000 0.0000 0.00 0.00
<br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.ODO 0.0000 1D,00 0,00
<br /> TOTAL SEWvICE/PReDUCTS
<br /> 45.0000 0.00 45.00
<br /> TOTAL CHARGE 45.00
<br /> CREDITS
<br /> TOTAL DUE "-------�s-�--
<br /> UNPAID BALANCE THIS RECEIPT
<br /> 4s.De
<br /> GENERATOR STATUS
<br /> 0-221) 165/month
<br /> Customer certifier that (i] the above•named .materials are properly
<br /> classified, packaged, marked and labeled, and are in proper condition
<br /> far transportation according to the Applicable regulations of the
<br /> Department of Transportation (ji] no material change has occurred
<br /> either in the characteristics of the waste/materjal or in the process
<br /> generating the waste/natrrial, and (iii] the above referenced
<br /> agreeand Genetotbe bound or shy;the Correct. Customer
<br /> and tconditions s(17 set forth to pav the bin charges
<br /> General Terms and Conditions provided separately et Customer na)[the
<br /> nay Sk agreement signed by custom, and SK, and [2? incorporated
<br /> herein by reference.. Unless Otherwiseiarge Customer's account
<br /> ndicated in the paymentreceived section. SK is authorized to chfor
<br /> 0i) the max
<br /> this transaction. If Customer fails to make payment when due, an
<br /> amount equal to the lesser of (i) 1.596 per month {1854 per annum] or
<br /> imum amount allowed by law, will be added to all unpaid
<br /> amounts outstanding. Customer certifies that the individual xig Hing
<br /> this Service Acknowledgement is duly aux thilt the
<br /> to sign and hind
<br /> its Gene Costumer acknowledges that it is responsible for maintaining
<br /> its Generator Status and obtaining an EPA 11) nuTibevif requ
<br /> applicable law. The following provision is applicable ired by
<br /> to
<br /> Safety-Kleln's parts cleaner and paint pull cleaner services;
<br /> mt
<br /> agrees that it will not introduce any Customer substance into the sOTvlCor
<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 Mat clean parts/paint guns that have been
<br /> contaminated with or otherwise introduce polychlorinated biphenyls
<br /> 0"'s], herbicides, pesticides, dioxins or listed hazardouswaste
<br /> into the solvent Or aqueous cleaning solution. Safety-kleen has the
<br /> capacity and is permitted to accept,
<br /> Harts washer solstore, and/or reclaim the spent
<br /> vent; paint thinners, solvents and paints generated by
<br /> customer; or dry cleaning filter cartridges, powder, and still
<br /> residuescontaining peraloroethylena, petroleum naphtha, or
<br /> triflurotrichlureethane dry cleaning solvents, Customer agrees that it
<br /> is responsible for properly classifying its oatste stre&Tm as Used oil
<br /> or Nonhazardous Waste in accordance with the provision of 40 CFR
<br /> 262.I1 and applicable state laws, Customer agrees that it will not
<br /> introduce any non-conforming
<br /> including, substance into the SK property,
<br /> ronstituentwithout limitation, any hazardous waste or hazardous waste
<br /> ,(i.e., pplychlorinated biphenyls (,,pCKs herbicides,
<br /> pesticides, dioxins, or listed hazardous wastes] except to the extent
<br /> such introduction is incidental to the normal use of the SN property,
<br /> In the event of the introduction of such nan-conforming hazardous
<br /> waste, Customer agrees that it w'iTlbe responsib7t for all costs and
<br /> remediation expenses related to or arising from the praper+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 an the actual services provided, which may include
<br /> additional chargesfor off specification waste and surcharges. Final
<br /> recee amount may he more
<br /> ipthan the amount listed on the printed
<br /> receipt. If any legal action is camnenctd because of an alleged
<br /> dispute, hreach, default or misrepresentation, the Customer also
<br /> agrees that the Prevailing party will be entitled to recover
<br /> reasonable attorney's fees and casts Associated with the
<br />
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