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CSG SK-SSL-BOX-23 Gomez, Raymond 07-29-2020 14 . 10 PAGE . <br /> Safety-Kleen Systems, Inc . <br /> 42 <br /> ter Drive <br /> Burwell ,tMA 02061 <br /> 800-669-5740 <br /> 24 HR EMERGENCY : 500-468-1160 (Safety-Kieen) <br /> 2095451011 <br /> REFERENCE SEE. <br /> CUSTOMER# RE32745 Romeo e 03501428 <br /> 1627 Army <br /> t Ste 1 . 2020-31 <br /> Stockton SRVC DATE : 07-29-2020 <br /> A 95206-0000 <br /> PHONE 925-447-0805 <br /> BILL TO c USTOMER# BILL TO ADDRESS . <br /> RE32745 games <br /> 1627 Army Ct Ste 1 <br /> Stockton <br /> CA 95206-0000 <br /> PHONE 925-447-D805 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE <br /> 156023 / 53830 COME Red, 53 AQ/6365 1 . D 0 1 . 0 206 . 74 <br /> S/N 98765 TGCLEAN 3 . 0 SPENT 0 . 0 <br /> SERVICE TERM I2WEEK - CHANGE TERM 24 WEEK SCANNED NO <br /> 156023 / 90837 MODEL 90 W/2387 s 6365 1 . 0 0 1 . 0 118 . 70 <br /> 8/N 18030031 TAG 00001170SK1803DO31 CLEAN 2 . 5 SPENT 0 . 0 <br /> SERVICE IBM 12 WEEK SCANNED No <br /> 10OD30 RECOVERY FEE 1 . 0 17 . 36 1 . 56 18 . 92 <br /> TOTAL SERVICE/PRODUCTS <br /> 17 . 36 11 . 36 344 . 36 <br /> TOTAL AGE 344 . 36 <br /> CREDITS 0 . 00 <br /> ------------------------------ <br /> TOTAL DUE 344 . 36 <br /> -------------- - - ---------- <br /> 44 . 36 <br /> UNPAID BALANCE THIS RECEIPT 344 . 36 <br /> Spent solvent Fuels acceptance <br /> Sticker Affixed to riteria? Yes <br /> Local Phone <br /> to e Yes <br /> Machine properly grounded? <br /> ergeacy c d unobstructed? <br /> Yes <br /> Fusible <br /> link installed? Yes <br /> Decals and legible? Yes <br /> Lamp Assembly Condition <br /> Yes <br /> Machine clean and good condition? Yes <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> I have established a program to reduce the V above-named materials are properly or <br /> quantity and toxicity o the <br /> hazardous w odegree l <br /> o be e practicable . labeled, a are <br /> n proper condition f transportation <br /> according t plicableregulationsno economically <br /> eDepartment o Transportation (it ) nchange occurred either <br /> in the characteristics of the waste/material o the process generating thew to/material, and (fit) the above <br /> referenced G pay the abovechar e bound by the e and <br /> onditions ( 1) e set o forthin (a) theGeneralTermsConditions provided separately t r (b) a agreement <br /> signed by c and (2 ) incorporatedhereinbyreference . O otherwise to <br /> dri a payment received <br /> uthorized t charge C etion . IfC = make payment when an Sequal at f (i) 1 . 5cper month n (le p annualor (ii ) t to <br /> b willbe <br /> added to tall unpaidamountsoutstanding . C certifiesthatthe individual signing this n5 e Acknowledgement i <br /> duly authorized t signand bindCustomer . acknowledges that i responsible for mairtainlrel Generator <br /> Status obtaining a number if required by applicable 1 following provision i applicable st Safety <br /> Kleens partscleaner andpaintcleaner s agrees that i will n introduce any substance i the <br /> solvent o aqueous clearing is , includingwithoutany hazardous w e. constituent, <br /> except to or <br /> e introduction i incidental t thein mal a of t rdfurther ta thati <br /> will not clean es/paintguns that have b ted with o e introducepolychlorinated biphenyls (PCBs) , <br /> herbicides , pesticides, dioxins or ted hazardous aw so aqueous cleaning s Safety-K1een has <br /> the y and s permitted to and/ors reclaim t washer solvent; p s, solventsa <br /> and paintstgen ted by c dry cleaning f owder, and still = containing <br /> perchloroethylene, petroleumnaphtha, riflurotrichloroethaneedry cleaning solvents . Customer cagrees that i i <br /> responsible classifying i w Used Oil o Nonhazardousa inaccordance <br /> of 40 CPR 262 . 11 and applicable state laws . Customer streams <br /> that i will n any n - substance into <br /> the SK Property, including, withoutlimitation, any hazardous w i, (i . e . , polychlorinated <br /> biphenyls ("PCBs" ) , herbicides, pesticides, dioxins, o d hazardous aw es ) a such introduction <br /> i o normaluseof the Property . then of t except <br /> such hn - hazardous <br /> waste, Customer that it will he all c and r relatedtoarising fromthe <br /> proper m and disposal o non-conforming w remediation <br /> feequipment decontaminationand <br /> subsequent disposal . Final invoicingwillbe based on the actual services provided, which day include additional charges <br />