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CSG SK-SSL-UMO-03 Brian Mcdonald 02/22/19 15:39 PAGE Safety Aleen 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 101 W D Stockton BILL TO CUSTOMER# BILL DES 4220 Delgado 101 W D Stockton PURCHASE ORDER# SERVICE/ PRODUCT 66636 USED OIL SERVICE HALOGEN 10256 FEE, OIL SERVICE Auto Or Martin Luther Ki CA 95206-1703 PHONE 760-579-1533 TO ADDRESS: Auto Or Martin Luther King Jr Blvd CA 95206-1703 PHONE 760-579-1533 1 REFERENCE NBR. 79309559-1900875288 SRVC WEEK: 2019-9 SRVC DATE: 02/22/19 QTY UNIT PRICE RECYCLE AUTOMOTI 124.000 0.5000 TERM 20 WEEK / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 SERVICE/STOP NON 1.000 0.0000 TERM 20 WEEK TOTAL SERVICE/PRODUCTS UNPAID BALANCE THIS RECEIPT TAX EXEMPT# TOTAL TAX CHARGE 0.00 62.00 o.s000 TOTAL CHARGE CREDITS ----- TOTAL DUE 62.00 0.00 0.00 0.00 62.00 If high risk source, rear. certifies that load specific PCB & Silicon testing have been completed prior to pumping this load. GENERATOR STATUS CESgG: 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. CdsYomer--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 a Dunt equal to the lesser of (i) 1.5% per month (1896 pet, annuity) 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 dquPllus 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 (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 f tri flurotrichloroethane 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 con stituent,(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 iron -conforming waste, including the cost of equipment decontamination and subsequent disposal. Final invoicing wilI be based on the actual services provided, which may include additional charges foil off specification waste and surcharges. Final invoice amount may be more than the amount listed on the printed receipt. If any legal action is commenced because of an alleged dispute, breach, default or misrepresentation, the Customer also agrees that the prevailing party will be entitled to recover reasonable attorney's fees and costs associated with the non -conforming contamination event. Safety-Kleen's failure to screen Customer's material or take a retain sample, in no way constitutes a 62.00 0.00 ---------- 62.00