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- CSG SK-SSL-UNO-01 Joseph R Lima Jr 07/19/19 10: 16 PAGE 1 Safety - Kleen Systems , Inc . 2600 N Central Expy, Suite 200 Richardson, TX 75080 CORPORATE: 800-669-5740 24 HR EMERGENCY : 800-468-1760 (Safety-Mleen) 2095451011 -- REFERENCE BR. CUSTOMER* 1830963 Tracy Unified School District 60488335-1903526N032 315 E 11th St SRVC WEEK : 2019-28 Attu , Gail Garner SRVC DATE: 07/19/19 Tracy CA 95376-4017 PHONE 209-830-3216 BILL TO CUSTOMER* BILL TO ADDRESS : 7830969 Tracy Unified School District - 315 E 11th St Attn , Gail Garner Tracy CA 95376 -4017 ! �I PHONE 209-830-3216 PURCHASE ORDER* Ise sywer TAX EXEMPT# PRODUCT/SERVICES SE(MCE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 66636 USED OIL RECYCLE AUIOMOII 105 .000 0 . 2900 0.00 30 . 95 SERVICE TERM 24 WEEK HALOGEN / CLOR-D-TECT TEST RESULT PASS : PPM < 1000 10256 FEE , OIL SERVICE/STOP NON 1 . 000 145 .0000 0 . 00 145 . 00 SERVICE TERM 24 WEEK TOTAL SERVICE/PRODUCTS 145 . 2900 0 . 00 175 . 45 TOTAL CHARGE 175 . 45 CREDITS 0 .001, TOTAL DUE 175 . 45 UNPAID BALANCE THIS RECEIPT 175 . 45 If high risk source , rep . certifies that load specific PCB a Silicon testing have been completed prior to pumping this load .L GENERATOR STATUS SQG/LQG: Vehicle Customer certifies that (i) the above-named materials are properly classified, packaged, marked and labeled, and are n 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 o n the process generating the waste/material , and (iii) the above referenced ! � Generator Status isrrect . Customer agrees to pay the above charges and to be 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, a mount equal to the lesser of (i) 1 . 5% per month (I8% per annum) o (ii) the maximum amount allowed by law, will be added to all unpaid aunts 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 ID number if required by applicable law. The following provision is applicable tol 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 hiphenyls (PCB '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, stare , and/or reclaim the spent parts washersolvent; paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges , powder , and still residues containing perchloroethylene, petroleum naphtha, o triflurotrichloroethane dry cleaning solvents . Customer agrees that it is responsible for properly classifying its waste streams as Used Oil or Nonhazardous Waste to 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 ponstituent, (i . e . , polychlorinated biphenyls ("PCBs") , herbicides, esticides, 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 - additional charges for off specification waste and surcharges . Final invoice mount may be more than the amount listed on the printed