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CSG SK-SSL-UM0-01 Joseph R Lime 3r 09/06/17 08158 ' PAGE 1
<br /> Safety - K1een Systems , Inc .
<br /> 2600 N Central Expy, Suite 200 `P'
<br /> Richardson , TX 75080
<br /> CORPORATE : 800-669-5740
<br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen)
<br /> 2095451011
<br /> [USTOMER# TR33995 Tracy Unified School Dist REFERENCE NOR .74723665
<br /> 1975 W Lowell Ave SRVC WEEK : 2017-36
<br /> Tracy CA 95376-2238 SRVC DATE: 09/06/17
<br /> PHONE 209-835-1097
<br /> BILL TO CUSTUMER# BILL TO ADDRESS :
<br /> M3995 Tracy Unified School Dist
<br /> 1975 W Lowell Ave
<br /> Tracy CA 95376 -2238
<br /> PHONE 209-835 -1097
<br /> PURCHASE ORDER# 09-06 -17 TAX EXEMPT#
<br /> PRODUCT/SERVICE5
<br /> SERVICE/ TOTAL
<br /> PRODUCT QTY UNIT PRICE 'TAX CHARGE
<br /> 66665 ARIIFREE2E (YON-PREQUAL) 85 .000 14 . 0500 0 . 00 1194 . 25
<br /> SERVICE TERM 24 WEEK
<br /> HALOGEN / CLOR-O-TECT TEST RESULTPASS : PPM < 3000
<br /> 30256 FEE , OIL SERVICE/STOP NON 1 . 000 05 . 0000 0 .00 65 . 00
<br /> SERVICE TERM 11 WEEK
<br /> 66636 USED OIL RECYCLE AUIOMO'II 270 .000 0 . 2900 0 . 00 78 . 30
<br /> SERVICE TERM 11 WEEK
<br /> HALOGEN / CLOR-D-TICI' TEST' RESULT PASS : PPM < 1000
<br /> TOTAL SFRVICE/PRODUCTS 79 . 3400 0 .00 1337 . 55
<br /> TOTAL CHARGE 1337. 55
<br /> CREDITS 0 . 00
<br /> TOTAL DUE 3337. 55
<br /> UNPAID BALANCE THIS RECEIPT 1337. 55
<br /> If hiqjh risk testing have been cemPleted� t toy L t,^,t tun.i
<br /> I�r � .. ,, ing Lilts
<br /> ,
<br /> GE ,VSTATUS
<br /> CESSSQG : Vehicle
<br /> Customer certifies that kthe aboveleaned materials are Properly
<br /> classified , Packaged , marked e
<br /> u and labeled , and a n proper condition
<br /> for transportation a Transportation
<br /> to the applicable regulations has sof the
<br /> Departrither nin of Transpertatton (tt) m material erial has occurred
<br /> either in the chaste/matst tcs of tae waste/material o n thenprocess
<br /> Generator
<br /> inn the waste/material , and eii i) the above referencedabove
<br /> Generator Status i c ect . Customer agrees to pet the ebove a) tiles
<br /> and to be Lound hysthe nterms and conditions tel set forth to (r) the
<br /> General Tares and signed
<br /> byC provided separately to Customer to (6)
<br /> any SK by
<br /> ce. a le Customer and SK , ane (2) incorporated
<br /> herein by reference. Unless rizerwise indicated in the payment
<br /> eeceived section , SK is authorized to charge Customer ' s account for
<br /> amount
<br /> ountrequal ton . If Customer fails to make payment when due , all
<br /> unt equal to the lesser of (i) flaw per month dee per a nuns o
<br /> (ii) the filacoutstanding .
<br /> ng .artloCu allowed by law, will he added to all signi unpaid
<br /> amog 1
<br /> nets u ce tank fowl Customer certifies au that the individualsganti signing
<br /> this Service tomer Acknowledgement is duly it isr teed to slue and bind
<br /> its omer.
<br /> Customer acknowledges that it i responsible f for maintaining
<br /> its applicable
<br /> la Status alt wing obtaining au EPATOn icer if required by
<br /> appltcable law. The following and
<br /> pastor is cleaner
<br /> to
<br /> Safety-Khamis parts cleaner did paint quit ancenin services : Customer I
<br /> ' agrees that it will not introduce any substance intothe Fir 'u
<br /> aqueous cleaning solution, including Without limitation any caearJous
<br /> este or t
<br /> u
<br /> hazardous Waste c ustituen , except to the extent such
<br /> W s idw '_,.t .m
<br /> t^ the l of the uxchi ,stn,
<br /> furtr het e sthat it will ngulls
<br /> ot clean parts/paint that have been
<br /> Com l.,,nn inaie,l with o otherwise introduce pulychlurivated biphe^yls
<br /> GCB ' s) , herbicides, pesticides, dioxins or listed hazardous waste
<br /> into aIle solvent Or aqueous cleaning solution . Safety-Kleen has the
<br /> capaetty and is permitted to accept , store, arldreclaim the spent
<br /> Parrs teas Ler solvent ; paint thinness , s lvenn no,l paints generated by
<br /> ustumer; OF dry cleaninu filter cartridges, puwder , and still
<br /> trssiduuteeutn9 perchloroethylene, petrolemn naphtha, o
<br /> . uw; Fl ,nelr icbluruethane by clerking solvents . Customer agrees that it
<br /> is
<br /> s iLle for properly classifyinu its waste stremns as used oil
<br /> r NaJna n,',l0ws Waste i crdance With tine Provision of 40 CFR
<br /> 262 . 11 and epplicahle state laws . Customer agrees that it will not
<br /> introiuee ally non-cuformtuu substance into tine SK Property ,
<br /> „cluJfny , withoutlimitation, any eazar(10us Waste or hazardous waste
<br /> .gin: t , Ci . e. , polychlorinated biphenyls ("PCRs") , herhicides ,
<br /> p4z( Iles , dioxins , or listed hazardous wastes) except to tee extent
<br /> SM reduction i - incidental to tire n anal a of the SK Property .
<br /> In `Mie event of the introduction of such on - onforniinu hazardous
<br /> +as le , Customer rupees that it will be responsible for all costs and
<br /> f ( diet"PitiOn expenses related to o mainn femn the proper uaeeenl
<br /> y
<br /> nd disposal of Me t - onfo pinion Waste , nciuding the Cost of
<br /> equipment decontan minatioand subsequent disposal . Final ino
<br /> ill be based on the actual services provided . which may inrlada
<br />
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