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64Vl_polo9fad�,C)d)�NSq�IAAOIaMfcJlPbnHadwZiDgf-lIHO/WAglspmoAAxapOJOAqjbiuw-lbm6zWNOIZAf>iloU/Wxoqu!#/0/nA!ew/woo-916006-1!ew//:sduy CSG SK-SSL-UMO-01 Joseph R Lima lr 08J20/19 08:59 PAGE 1 Safety-Kleen Systems, Inc. 2600 N Central Expy, Suite 200 Richardson, TX 7SO80 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 REFERENCE NRR. CUSTOMERS HY11896 Hypunex 80914898 23390 E Flood Rd SRVC WEEK: 2019-34 Spencer Czer SRVC DATE: 08/20/19 Linden CA 95236-9488 PHONE 209-887-3845 BILL TO CUSTOMERS HILL TO ADDRESS: ' Y11928 Hyponex Po Box 479 Linden CA 95236-0479 PHONE 2o9-887-3845 PURCHASE ORDER# dave warren TAX EXEMPT# PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 10256 FEE, OIL SERVICE/STOP NON 1.000 175.4500 0.00 175.45 SERVICE TERM 24 WEEK 66636 USED OIL RECYCLE AUTOMOTI 220.000 0.8400 0.00 184.80 SERVICE TERM 24 WEEK HALOGEN /CnL�OnR.'-D-TECT TEST RESULT PASS: PPM < 1000 56665 ANTIFREEZE (NON-PREQUAL) 20.000 1.5706 0.00 31.40 SERVICE TERM 24 WEEK HALOGEN /CLOR-D-TECT TEST RESULT PASS: PPM < 10DO --------------------- ------------------- TOTAL SERVICE/PRODUCTS 177.8600 0.00 391.65 TOTAL CHARGE 391.65 CREDITS 0.00 --------------- TOTAL DUE 391.65 UNPAID BALANCE THIS RECEIPT 391.65 If high risk source, rep. certifies that load specific PCR 8 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 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 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 "tints 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 end obtaining an EPA ID number if required by applicable law. The following provision is applicable to Safety-Kleen'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 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 guns that have been contaminated with or otherwise introduce polychlorinated biphenyls (PICH'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/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 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 hiphenyls ("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 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-conforming waste, including the cost of equipment decontamination and subsequent disposal. Final invoicing will be based on the actual services provided, which may include 6df. !lue 6LM/6Z/8