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(Safety-K.leen) A variable recovery fee that fluctuates with tlse DOE national average
<br /> ifs SK-DWP-UMO Ot lima Jr,Joseph It 132-16-2022 12:23 PAGE I diesel price may be applied to your invoice. For more information regarding our recover y
<br /> fee calculation please go to lit tp:lsafety-kleen.coml
<br /> Safety-Kleen Sys ezjs, Inc, customer-ser vicelenvironmental-feeslrecovery-fees. Please note e-manifest fees applicable
<br /> 42 Eonywater Drive to this order may not be included in the total above and will be included in the final
<br /> Norvie I I, HA 02051 invoice or credi I card statement. RECEIPT ONLY- THIS IS NOT AN INVOICE
<br /> CDRPORATE 800-669-5740
<br /> 24 flR EMERGENCY: $UO 458 1760 (Safety-Kleen)
<br /> 20954510/1
<br /> REFERENCE NBR.
<br /> is]OMERtI C128112 City Of Stacl:Ion Water 88227[320 - 21071162857 a
<br /> Treatment
<br /> 25110 Navy Or SRVC WEEK: 2022-7
<br /> Attn Concepcion CUSTOMER ! GENERATOR: Paul
<br /> Stockton CA 95206-1147 SRVC DATE: 02-16-2022
<br /> PHONE 2119-937-8906
<br /> EL TO CUSTOHFRO BILL TO ADDRESS:
<br /> 28113 City Of Stockton TRANSPORTER: Liana Jr,Joseph R
<br /> 2500 Navy Or
<br /> C10 Municipal Utilities Dept
<br /> Stockton CA 95205 1117
<br /> PRONE 209-351-6421
<br /> IREHASE OROERII 2116122 TAX EXEHPlII ------------------- ----------- --------- _-- .. .--- -- ___ ____
<br /> PIfOM:T!M ICES
<br /> CSG SX-DWP-UMO-01 Lima Jr,Joseph R 02-16-2022 12:23 PAGE 2
<br /> 11VICESIPRODUCT QTY UNIT PRICE TAX TOTALCRARGE SHIPPIffi DUClOT
<br /> 1256 FEE, OIL 1.0 217.00 0.00 217.0 IN THE EVENT OF AN EMERGENCY CALL ""24-Hr-Number" I-MMI-468-1160 (SAFETY-KLEEN SYSTEMS, INC.
<br /> SERVICE/STOP REFERENCE NOR.
<br /> NON-PREQUAL CHANKC 88227020 - 2107062857
<br /> 1636 USED OIL RECYCLE 240.0 8,(10 0,00 0.01) CUSTOMER 1 GENERATOR: 0128112 City Of Stockton
<br /> AUTOMOTIVE OIL Water Treatment
<br /> HALOGEN! CLOR-D-TEC7 TEST: PASS:PPM < 1000 2500 Navy Or
<br /> Attn Concepcion
<br /> ------------------------------------------ Stockton CA 95206-')147
<br /> tOTAL SERVICEIPRODUCIS 217.00 D.110 211.00 PHONE 2139-937-8906
<br /> GENERATOR USEPA 111. CA[J0009581
<br /> TOTAL CHARGE 211.00 GENERATOR STATE:
<br /> CREDITS 0.00
<br /> - — -- -- MANIFESID: 1'9),'i%2164S9S FORM CD : 10 SHIPI 236421205
<br /> TOTAL DUE 217.00
<br /> TRANSPORTER 1 TXROODU81205 Safety Kleen
<br /> ----------- ----------- TRANSPORTER 2
<br /> UNPAID BALANCE THIS RECEIPT 217.0
<br /> high risk: source, rep. certifies that load speci tic PCB&Silicon
<br /> :sting have been completer) prior to pumping this load. US DDT BESCRIP110N (INELUDING PROPER SHIPPING NAME, HAZARD CLASS, AND 10)
<br /> NON-RCRA HAZARDOUS WASTE, LIQUID
<br /> (USED OIL)
<br /> :NERATOR STAHJS CES(IC Uehicle
<br /> FEDERAL WASTE CODES NONE
<br /> istamer certifies that (i) the I have established a program to reduce file volume STATE WASTE CODES: 221
<br /> ave-named materials are properly Or gLrantity and toxicity of the ha2ardaus waste TOTAL CONT 1 TYPE: If WfIVOL li SKDOT 11249
<br /> assified, packaged, marked and to the degree to lie economically practicable. labeled, CNTII 220126x!— SZ: BULK VOLUME CONTAINER QTY: 240 PROF# 156017 CA EI EUDE: A
<br /> id are in proper condition for transportation according to the applicable regulations of
<br /> e Departmeni of Transportation (it) no material change has occurred either in the
<br /> aracteristics of the waste/material or in the prncess generating the wastelnEaterial, and DESIGNATED FACItl[V NAMLIADURESS:
<br /> i i) the above referenced Generator Status is correct. CUStamer agrees to pay the above SAFETY-KLEEN OF CALIIURNIA
<br /> urges and to be bound by the terms and conditions (1) set forth in (a) the General Terms 6880 SMITH AUE.
<br /> id Conditions provided separately to Customer or (b) any SK agreement signed by Customer NEWARK
<br /> id SK, and (2) incorporated herein by reference. Unless otherwise indicated in the CA 94560
<br /> .yment received section,.SK is authori2ed to charge Customers account for this TSO PHONE: 510-735-4400
<br /> ansaction. 11 Frslamer fails to make payment when due, an amount equal to the lesser of
<br /> ) 1.5% per MUij!('I8% per annum) or (i i) the maximum amount allowed by law, will be FACILITY USEPA ID NO CA0980887418
<br /> Ided to all unpaid amounts outstanding. Customer certifies that tine individual signing FACILITY STATE ID NO
<br /> ,is Service Acknowledgement is duly authorized to sign aril bind Customer. Customer
<br /> knowledges that it is responsible far maintaining its Generator Status and obtaining an
<br /> 'A ID number if required by applicable law, The fallowing provision is applicable to GENERATOR STATUS CLSQG: Vehicle
<br /> fety-Kleens parts cleaner and paint gun cleaner services: Customer agrees that it wilt
<br /> ,t introduce any substance into the solvent or aqueous cleaning solution, including
<br /> thout limitation any hazardous waste or hazardous waste constituent, except to the
<br /> .tent such introduction is -incidental to the normal nse of the machine. Customer fw tiler
<br /> trees that it will not clean par tslpaint guns that have been contaminated with or
<br /> herwise introduce polychlorinated biphenyls (PCBs), herbicides, pesticides, dioxins or
<br /> sled hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has the
<br /> pacity and is permitted to accept, store, andlor reclaim the spent parts washer solvent; CUSTOMER 1 UFNFRATOR: pawl
<br /> .Int thinners, solvents and paints generated by customer; or dry cleaning filter
<br /> rtridges, powder, Aral still residues cootaininy per chtoroethytene, petroleum naphtha, or
<br /> iflurotrichIoroetlsane dry cleaning solvents. Customer agrees that it is responsible for
<br /> operIy classifying its waste s eams as Used Oil or Nonhazardous Waste in accordance
<br /> th the provision of 40 EFR 262,11 and applicable slate laws. Customer agrees that it
<br /> II not introduce any nun-conforming subs lance into the SK Property, including. without TRANSPORTER: Lim Jr,.loseph R
<br /> mitation, any hazardous waste or hazatdous waste constituent,(i.e., polychlorinated
<br /> phenyls f"PCBs"), herbicides, pesticides, tliuxins, or listed ha2arrlonS wastes) except to
<br /> e extent such introduction is incidental to the normal use of the SK Property, In the
<br /> ert of the intradnCtran of such nun-confuiming hazardous waste, Custooiet agrees that it
<br /> 11 be responsible for afl costs and remediation expenses related to 01 arisincr from the
<br />
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