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LSG SK -SSL -UMO -03 Brian Mcdonald 10/31/19 09 : 40 PAGE 1
<br /> Safety - Kleen Systems , Inco
<br /> 2600 N Central Expy , Suite 200
<br /> Richardson , TX 75080
<br /> CORPORATE : 800 -669 -5740
<br /> 24 HR EMERGENCY : 800 - 468 - 1760 (Safety - Kleen)
<br /> 2095451011
<br /> REFERENCE NOR ,
<br /> CUSTOMER# SK08S10 SKS 81532603
<br /> 18832 Mello Rd SRVC WEEK : 2019- 44
<br /> Ripon CA 953664601 SRVC DATE : 10/31 /19
<br /> PHONE 209 - 599- 4095
<br /> BILL TO CUSTOMER# BILL TO ADDRESS :
<br /> SK08510 SKS
<br /> 18832 Mello Rd
<br /> Ripon CA 95366 -8601
<br /> PHONE 209 - 599 -4095
<br /> PURCHASE ORDER# TAX EXEMPT'#
<br /> PRODUCT /SERVICES
<br /> SERVICE/ TOTAL
<br /> PRODUCT QTY UNIT PRICE T CHARGE
<br /> 66665 ANTIFREEZE (NON-PREQUAL) 30 . 000 1 . 0000 O . Of) 30 . 00
<br /> HALOGEN / CLOH -D -lECT TEST HESULf PASS : PPM < 1000
<br /> TOTAL SERVICE/PRODUCTS 1 . 0000 ) 0 . 00 30 . 00
<br /> \ �� TOTAL CHARGE 30 . 00
<br /> CREDITS 0 . 00
<br /> b ^ ( r ( 5
<br /> ] DIAL DUE - - - 30 . 00
<br /> UNPAID BALANCE THIS RECEIPT 30 . 00
<br /> If high risk source , rep , certifies that load specific PCB &. Silicon
<br /> testing have been completed prior to pumping this load .
<br /> GENERATOR STATUS
<br /> CESQG : Vehicle \
<br /> Customer certifies that (i) the above - named materials dre properly
<br /> classified , packaged , marked and labeled , and are in proper condition
<br /> for transpur• lation according to the applicable regulations of the
<br /> Department of Transportation ( ii) no material change lids occurred
<br /> either in the charaLteristics of the waste/material or in the process
<br /> generating the waste/material , and (iii) the above referenced
<br /> Generator Status is correl. t . Customer agrees to pay the above charges
<br /> and bis be bound b , th ,% ! isms and conditions (1) set forth in (a) the
<br /> General Terms and Conditions provided separately to Customer or (b)
<br /> any SK agreement signed by Customer and SK , and (2) incorporated
<br /> herein by reference , Unless otherwise indicated in the payment
<br /> received section , SK is duthorized to charge Customer ' s account for
<br /> this transaction . If Customer fails to make payment when due , an
<br /> amount equal to the lesser of (1) 1 . 5% per month (18% per annwmo or
<br /> (ii) the maximum amount allowed by law , will be added to all unpaid
<br /> amounts outstanding . Customer certifies that the individual signing
<br /> this Service Acknowledgement is duly authorized to sign and bind
<br /> Customer . Customer acknowledges that it is responsible for maintaining
<br /> its Generator Status and obtaining an EPA ID number if required by
<br /> applicable law . The following provision is applicable to
<br /> Safety - Kleen ' s parts cleaner and paint gun cleaner services : Customer
<br /> agrees that it will not introduce any substance into the solvent or
<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 /> frirther agrees that it will not clean parts/paint guns that have been
<br /> contaminated with or otherwise introduce polychlorinated bipheuyls
<br /> (PCB ' s) , herbicides , pesticides , dioxins or listed hazardous waste
<br /> into the solvent or aqueous cleaning solution . Safety-Kleen has the
<br /> capacity and is permitted to accept , store , and/or reclaim the spent
<br /> Parts washer solvent ; paint thinners , solvents and paints generated by
<br /> customer ; or dry cleaning filter cartridges , powder , and still
<br /> residues containing perchloroethylene , petroleum naphtha , or
<br /> triflurotrichloroethate dry cleaning solvents . Customer agrees that it
<br /> is responsible for properly classifying its waste streams as Used Oil
<br /> or• Nonhazardous Waste in accordance with the provision of 40 CFR
<br /> 262 . 11 and applicable state laws . Customer agrees that it will not
<br /> introduce any non- conforming substance into the SK Property ,
<br /> including , without limitdtion , any hazardous waste or hazardous waste
<br /> constituent , (i . e . , polychlorinated biphenyls (" PCBs") , herbicides ,
<br /> pesticides , dioxins , or listed hazardous wastes) except to the extent
<br /> such introduction is incidental to the normal use of the SK Property .
<br /> In the event of the introduction of such non - conforming hazardous
<br /> waste , Customer agrees that it will be responsible for all costs and
<br /> remediation expenses related to or arising from the proper 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 on the actual services provided , which may include
<br /> additional charges for off specification waste and surcharges . Final
<br /> invoice amount may be more than the amount listed on the printed
<br /> receipt . If any legal action is tormented because of an alleged
<br /> dispute , breach , default or misrepresentation , the Customer also
<br /> agrees that the prevailing party will be entitled to recover
<br /> reasonable attorney ' s fees and costs associated with the
<br /> non- conforming contamination event . Safety - Kleen ' s failure to screen
<br /> Customer ' s material or take a retain sample , in no way constitutes a
<br /> waiver of Customer ' s obligation to properly classify its materials .
<br /> Safety - Kleeu relies on Customer ' s representations and Customer is
<br /> responsible for informing Safety - Kleen of any process changes that may
<br /> alter the rharartae tctire Af the n,atenialc nea..i,loA TN TnF FLlFNT AF
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