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CSG SK -SSL -BOX -23 Raymond Gomez 03/04/19 13:07 PAGE SafetyAleen Systems, Inc. 2600 N Central Expy, Suite 200 Richardson, TX 75080 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 CUSTOMER# DE54220 Delgado Auto 101 W Or Martin Luther Ki Stockton CA 95206-1703 PHONE 760-579-1533 BILL TO CUSTOMER# BILL TO ADDRESS: DE54220 Delgado Auto 101 W Or Martin Luther King Jr Blvd Stockton CA 95206-1703 PHONE 760-579-1533 REFERENCE NBR 79238315-190072989 SRVC WEEK: 2019-11 SRVC DATE: 03/04/1! PURCHASE ORDER# TAX EXEMPT# PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 905837 MODEL 90.5 W/2387 6365 10 1.000 99.0000 8.91 107.91 S/N 15918845 TAG 00002697SK15918845 CLEAN 2.50 SPENT 0.000 SERVICE TERM 12 WEEK SCANNED YES 100030 RECOVERY FEE 1.000 14.5000 1.31 15.81 TOTAL SERYICE/PRODUCTS 113.5000 10.22 123.72 TOTAL CHARGE 123.72 CREDITS 0.00 TOTAL DUE 123.72 UNPAID BALANCE THIS RECEIPT 123.72 Machine clean and good condition? Yes Lamp Assembly Condition Yes Decals in place and legible? Yes Fusible link installed? Yes Emergency closing of lid unobstructed? Yes Machine properly grounded? Yes Local Phone No. Sticker Affixed to Machine Yes Spent solvent meets acceptance criteria? Yes GENERATOR STATUS 0-220 lbs/month Customer-_certif-ies-that--.(a)--the-above-named-materials -are phoperly 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 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, an amount equal to the lesser of (i) 1.5% per month (18% per annum) or (i i) 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 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 gtdns that have been contaminated with or otherwise introduce polychlorinated biphenyls (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, 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 co nstituent,(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 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 wi11 be based on the actual services provided. which may include