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CSG SK-SSL-UMO.02 Miguel Onsurez 01/24/19 15:20 PAGE 1 Safety°-Kleen Systems , Inc. 2600 N Central Expy, Suite ZOO Richardson, TX 75080 CORPORATE: 800-069-5740 24 HR EMERGENCY: 800-468-1700 (Safety-Kleen) 2095451011 REFERENCE NBR, CUSTDIMER# CA47950 Cal Trans Shop 10 Cws 79084476 2005 Krohn Rd SRVC WEEK: 2019-4 Tracy CA 95377.DIZO SRVC DATE: 01/24/19 PHONE 209835-6779 BILL TO CUSTOMER# BILL TO ADDRESS: CA47769 Caltrans Cws Po Box 1632 Stockton CA 95201-3098 PHONE 200548-7815 PURCHASE ORDER# TAX EXEMPT# PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 10256 FEE, OIL SERVICE/STOP NON 1.000 SERVICE 'TERM 12 WEEK 66636 USED OIL RECYCLE AUTOMOTI 169.000 SERVICE TERM 1Z WEEK HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM g 1000 TOTAL SERVICE/PRODUCTS TOTAL CHARGE CREDITS _ TOTAL DUE s3NPAT� RALANCF: TriTS RECEIPT If high risk source, rep. certifies that load specific PCB 8 Silicon testing have been completed prior to pumping this land. GENERATOR STATUS SQG/LQG: 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 he 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 ti:e 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 10 number if required by _appl cab'le_-1.Pw.-The...followip.g provision applicable 4u._... Safety-�Kleen's parts.cIeaner 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 waste constituent, except to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it will not clean parts/paint gums that have been contaminated with or otherwise introduce polychlorinated biphenyls (RCS's), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has the capacity and is permitted to accept, store' and/er 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 triflurotrichloroethane 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 constituent,(i.e., polychlorinated biphenyls ('PCBs"), herbicides, pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction is incidental to the normal use of the SK Property, in the event of the introduction of such aon-conforming hazardous waste, Customer agrees that it will he responsible for all costs and rensediation expenses related to or arising from the proper management and disposal of the nonconforming 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 amount listed on the printed receipt. if any legal action is commenced because of an alleged dispute, breach, default or misrepresentation, the Customer also agrees that the prevailing party will be entitled to recover reasonable attorney's fees and costs associated with the non-conforming contamination event. Safety-Klaen's failure to screen