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r <br />BRANCH SSL CSG 22 Jose Moran 03/25/15 15:07 PAGE 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Expy, Suite 400 <br />Richardson, TX 75080 <br />CORPORATE: 800-669-5740 <br />24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br />2095451011 <br />REFERENCE NBR. <br />CUSTOMER# MC22499 Mcneilus Truck 66511054 � C I V E , <br />3100 N Ad Art Rd SRVC WEEK: 2015-13 r{�od� <br />Attn: Ralph Cortez SRVC DATE: 03/25/15 15:06 <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />BILL TO CUSTOMER# BILL TO ADDRESS: <br />MC22499 Mcneilus Truck <br />3100 N Ad Art Rd <br />Attn: Ralph Cortez <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />PURCHASE ORDER# TAX EXEMPT# <br />PRODUCT/SERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT <br />QTY UNIT <br />PRICE TAX <br />CHARGE <br />40701082/ <br />875460 <br />NON HAZARDOUS SOLID 55GL <br />1.000 <br />229.3200 <br />0.00 <br />229.32 <br />SERVICE TERM 24 WEEK <br /># CONTS: <br />1 TSDF: BL MANIFEST#: <br />OD4764216SKS <br />FORM CD: US SK <br />SHIP# <br />215725615 <br />CNT#: 150324971363 QTY: 200 <br />WT/VOL P PROF# 40701082 <br />SKDOT 7168379 <br />7225 <br />SORBENT PADS NP <br />2.000 <br />86.1000 <br />13.78 <br />185.98 <br />SERVICE TERM 24 WEEK <br />3369 <br />DRUM, 55 GL BLACK STEEL 0 <br />1.000 <br />0.0000 <br />0.00 <br />0.00 <br />SERVICE TERM 24 WEEK <br />CAUSE CODE VoidHeaderAndLine -SERVICE <br />NOT NEEDED <br />3369 <br />DRUM, 55 GL BLACK STEEL 0 <br />1.000 <br />0.0000 <br />0.00 <br />0.00 <br />SERVICE TERM 24 WEEK <br />CAUSE CODE VoidHeaderAndLine -SERVICE <br />NOT NEEDED <br />8003369 <br />DRUM, 55 GL BLACK STEEL 0 <br />1.000 <br />71.4000 <br />5.71 <br />77.11 <br />SERVICE TERM 24 WEEK <br />100001 <br />FEE, FUEL SURCHARGE <br />1.000 <br />----------------------------------------- <br />11.8200 <br />0.95 <br />12.77 <br />TOTAL SERVICE/PRODUCTS <br />398.6400 <br />20.44 <br />505.18 <br />TOTAL CHARGE <br />505.18 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />--------------- <br />505.1H <br />UNPAID BALANCE THIS RECEIPT 505.18 <br />GENERATOR STATUS <br />0-220 lbs/month <br />Customer certifies that (i) the above-named materials are pzoporly <br />classified, packaged, marked and laheled, and are in proper condition <br />Page 4 <br />AUG 0 i 2015 <br />ENVIRONMENTAL <br />- .''A.ru rlcon wriAckrr <br />