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Safety-Kleen Systems, Inc, invoice or credit card statement, rrrctiri ura_r arra 13 rnri nn invu
<br /> 42 LonywaIer Ofive
<br /> Norwell, MA 12061
<br /> CORPORATE: 800.669-5740
<br /> 24 HR EMERGENCY: 810-458-10 (Solely-Kleen)2095451011
<br /> REFERENCE NBR.
<br /> 1USICHER# 1127451 First Student 20312 81340498 - 21/4994282 CUSTOMER I GENERATOR: ward
<br /> 2nC5 Navy Or SRVC WEEK: 2021-341
<br /> Stockton CA 95206-1142 SRVC DAIL: U9 29-2021
<br /> PHONE 513-419-3315
<br /> BILL lr' -"TOMER# BILL TO ADDRESS:
<br /> F1218, Firstfiruup America, Inc. TRANSPORTFR: Lima ,Ji ,Joseph R
<br /> 600 Vine St, Ste, 1400
<br /> Cincinnati DH 45202-2411(1
<br /> PHONE 513-419-3315
<br /> PURCHASE ORDER# ward 9129121 TAX EXEMPT# --------
<br /> 5T11VIL'ES1PknUUCI PAOKT1SEAVICES :SG SK-BWP-U40-01 Lima Jr,Joseph R 09 29-2621 11:30 PAGE 2
<br /> QTY UNIf PRICE TAX IOIALCHARGE
<br /> 10256 FEE. GiL I.0 CP CP CP SHIPPING DOLINIENT
<br /> SERVICEISIOP N THE EVENT OF AN EMERGENCY CALL 24-111 1-800-468-17611 (SAFETY-KIEEN SYSTEMS, INC.;
<br /> NON-PREQUAL CRANKC REFERFNCE NHR.
<br /> SERVICE TERM 5 WEEK 81340496 - M4994282
<br /> 56636 USED OIL RECYCLE 225.0 CP CP CP 1STI)MER I GENERATOR: F 177451 First Student 211312
<br /> AUTOMOTIVE OIL 2015 Navy Or
<br /> SERVICE TERN In WEEK Stocl tor,CA 95206-1142
<br /> IIAL.OfiFNI CLOR-D-TELT TEST: PASS:PPM 1000 PHONE 513-419-3315
<br /> 366115 ANTIFREEZE 5.1] CP CP CP iENERAIDR USEPA 10, CAL{1110036948
<br /> (AUTOMOTIVE) ;ENE9ATOR STATE:
<br /> SERVICE TEAM 12 WEEK
<br /> HALOGEN/ CLOR-D-TECT TEST: PASS:PPM 1101 1ANIFEST#; 00777is994SKS FORM CD : ID SHIP# ?353538711
<br /> TRANSPORTER T IXR00OU81205 SAFETY-KLEEN SYSTEMS 11,1i:.
<br /> TOTAL SERVICEIPRODUCIS CP CP CP TRANSPORTER 2
<br /> JS DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS. AND 10)
<br /> TOTAL CHARGE CP 0-RCRA HALARIOIIS WASTE, LIQUID
<br /> CREDITS Cp ZED
<br /> TOtAL DUE CP EDERAL`WASIE CODES NTJNF
<br /> aTAIE WASTE CODES: 221
<br /> TOTAL CONT 1 TYPE: IT WTIVOL G SKQOT 11249
<br /> UNPAID BAIANCE (HIS RECEIPT CP :NT# 210929194778 SZ: BULK VOLUME CONTAINER Q1Y: 225 P00 1515011 CA Cl CODE: A
<br /> VON RCRA HA[AROOUS WAST€J IQU10
<br />;ENERATOR STATUS CESQG: VehicleETHYLENE GLYCOL SOLUTION (LESS THAN SOX)
<br />:ustumer cei tifies that (i) the I have established a piouram to reduce the volume =EOFRAL WASTE COUES NONE
<br /> rbove-named materials are properly or quantity and toxicity of the hazairious waste STATE WASTE CODES: 133
<br /> J assified, paclaged, marled and to the degree to be er.wnrxnically Ix acticab#e labeled TOTAL CONT 1 TYPE: TT WfIUOL. G SKDOT 651
<br /> and are in proper condition fol transpo talion ac,rorth ny to the applicable ieyulations of CNT1 210929194787 SZ: BULK VOLUME CONTAINER QIY: 5 PROF# 156030 CA CI CODE: E
<br /> he Department of Transportation (ii) no oaterial charge has acw i ed either in the
<br />:haracrw cs of the wastelmaterial or in the process, generatini the wasteln3aterial, aril
<br /> iiil Bove referenced Generalo Status is correct Customer aJrees to pay the af>ave DESIGNATED 1`00Y NA*IA0..SS:
<br /> harge.,._.:,ef to be bound by the ie:ms and conditions (1) set forth in (a) tine General Tet ms SAFETY-KLEEN OF CALIFORNIA
<br /> nd Conditions provided separately to Customer or (b) any SK agreement signed by Customer 1886 SMITH AVE
<br /> nd SK, and (2) incoiporated herein by reference. Unless otherwise indicated in the rEWARK
<br /> ayinetit received section, SK is authorized to charge Customers account for this -A 94%0
<br /> ransactioil. If Customer IaiIs to make payment when due, an amorurt equal to the lesser of ISD PHONE: 510-196-44UG
<br /> i) 1,5X per month (18;6 per annum) of (ii) the maximum amount allowed by law, will be =
<br /> dried to all unpaid amounts outstandiriy. Customer certifies that the individual signin -ACILIIY DSEPA IU NO CAD9811887418
<br /> y ACILIIY STATE ID NO
<br /> his Service Ar.Lnowledyement is duly authorized to sign arid bind Costumer. Customer
<br /> cknowledges that it is responsible for maintaining its Generator Stalus and obtaining an
<br /> PA 10 number if required by applicable law, The following provision is applicable to 3ENERATOR STATUS CESQG Vehicle
<br /> afety-Kleeris pails cleaner and paint gun cleaner seivires: Customer agrees that it will
<br /> of introduce any substance into the solvent or ariueous cleaning solution, including j
<br /> ithout limitation any hazardous waste or hazardous waste constituent. except to the
<br /> Ktent such introduction is incidental to the normal use of the machine. Customer further
<br /> 3rees that it will not clean parts/paint guns that have been conlaninatad with or
<br /> therwise introduce polychlorinated biphenyls (PCBs)• herbicides, pesticides, dioxins of CUSTOMER I GENERATOR: ward
<br /> isted hazardous waste into the sulvent of aqueous cleaning solution. Safety Kleen has the
<br /> opacity and is permitted to accept, stote, and/or reclaim the spent parts washer solvent: ,
<br /> Tint thinners, solvents and paints generated by customer; of dry cleaning filter Y�--
<br /> utridges, powder, and still iesidues containing perchloroethylene, petroleum naphtha. or
<br /> iflurotrichloroethane dry cleaning solvents, Customei agrees that it is responsible for
<br /> operly classifying its waste streams as Used DiI or Nonha2ardous Waste in accordance TRANSPORTER: Lirna Jr,Soseph R
<br /> th the provision of 40 CFR 262.11 and applicable state laws, Customer agrees that it
<br /> II not introduce any nonconforming substance into the SK Property includiTay, without
<br /> mitation, any ha2ar daus waste or hazardous waste constituent (i.e., puiychloiinoted
<br /> phenyls ("PCOs"), herbicides, pesticides, dioxins, or listed hazai dons wastes) except to
<br /> ie extent such introduction is incidental to the normal use of the SK Property. In the
<br /> ent of the introduction of such non-conforming hazai dour waste, Customer agrees that it
<br /> II he responsible for all costs and remediation expenses related to or arising fi on the
<br /> open' management and disposal of the non-conloiminy waste, including the cost of
<br /> luipment decontamination and subsequent disposal. Final roan �'.•:. rr
<br />
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