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1041\1 Pacific Recycling, Inc. SCALE RECEIVER <br /> 3300 Cross St. <br /> PO Box 2633 <br /> Eugene, OR. 97402 <br /> Phone 541 .461 .3443 Recv Date: 3/15/2016 <br /> Account: <br /> City of Eugene Public Works/Ma Receiver#: 395093 <br /> Attn: Kandy Hanes Control #: 395093 <br /> 1820 Roosevelt Blvd. <br /> Eugene OR 97402 <br /> Commodity Description Gross Tare Net Price / UM Amount <br /> 20020 PREPARED HMS 19,820 18,620 1,200 60.00 / NT 36.00 <br /> Totals 1,200 36.00 <br /> I HAVE READ THE CURRENT LIST OF MATERIALS THAT PACIFIC RECYCLING,INC.WILL NOT ACCEPT FOR REGULATORY AND ENVIRONMENTAL REASONS.I WARRANT THAT <br /> THE MATERIALS I AM SELLING DO NOT CONTAIN ANY OF THE MATERIALS DESCRIBED ON THE LIST OR CONTAIN HAZARDOUS OR TOXIC WASTES FOR WHICH DISPOSAL IN A <br /> RRANT THAT ALL <br /> S,INCLUDING TANKS,SEALED <br /> FMUNICPAL WASTEULLYI <br /> IAND LAWFULLY NDRAIN D OF ALL OIILLS ORPROHIBITED. <br /> OIL HPRIODUUC PRODUCTS. FURTHER WARRANT THAT LANY ITEMS THAT CONTAINED OZONE RBEENS AND METAL BORINGS HAVE <br /> DEPLETING COMPOUNDS SUCH AS <br /> CFC'S OR FREON,HAVE BEEN EMPTIED IN ACCORDANCE WITH APPLICABLE LAWS. <br /> I WARRANT THAT I AM THE LAWFUL OWNER OF THE MATERIALS BEING SOLD AND THAT I HAVE THE RIGHT TO SELL THEM TO PACIFIC RECYCLING,INC.I ACKNOWLEDGE <br /> THAT FOR THE PAYMENT I RECEIVE IN FULL,I SELL AND CONVEY TITLE TO THE MATERIALS TO PACIFIC RECYCLING,INC. I ALSO UNDERSTAND THAT PACIFIC RECYCLING, <br /> INC.IS NOT RESPONSIBLE FOR DAMAGES TO THE MATERIALS OR TO VEHICLES WHILE LOADING OR UNLOADING. <br /> I AGREE TO INDEMNIFY AND HOLD HARMLESS PACIFIC RECYCLING,INC.AGAINST ALL CLAIMS AND EXPENSES ARISING OUT OF ANY BREACH OF THESE WARRANTIES. <br /> REVIEW YOUR TICKET BEFORE YOU GET PAID! ! <br /> ____________1:. <br /> ID: <br /> Accepted: <br />