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0 0 <br />RECEIVED <br />BRANCH SSL CSG 24 David Buxton 11/15/13 11:43 PAGE 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Erpy, Suite 400 <br />Richardson, TX 75080 <br />800-669-5740 <br />2095451011 <br />REFERENCE NBR. <br />CUSTOMER# MC22499 Mcneilus Truck 62310681 <br />3100 N Ad Art Rd SRVC WEEK: 2013-46 <br />Attn: Ralph Cortez SRVC DATE: 11/15/13 11:43 <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 209-931-4262 <br />PURCHASE ORDER# TAX EXEMPTION NBR <br />PRODUCT/SERVICES <br />SERVICE/ TOTAL <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />40701083/ <br />876530 CAL UNIVERSAL AEROSOLS 55 1.000 385.0000 0.00 385.00 <br />SERVICE TERM 24 WEEK <br /># CONTS: 1 TSD': SS MANIFEST#: 10681 FORM CD: BL SK SHIP# 211683768 <br />CNT#: 131114823372 QTY: 125 WT/VOL P PROFILE: 040701083SKOOT 7369417 <br />8003369 DRUM, 55 GL BLACK STEEL C 1.000 68.0000 5.44 73.44 <br />SERVICE TERM 24 WEEK <br />100001 FEE, FUEL SURCHARGE 1.000 16.1200 1.29 17.41 <br />------------------------------------------ <br />TOTAL SERVICE/PRODUCTS 469.1200 6.73 475.85 <br />TOTAL CHARGE 475.85 <br />CREDITS 0.00 <br />--------------- <br />TOTAL DUE 475.85 <br />UNPAID BALANCE THIS RECEIPT 475.85 <br />GENERATOR STATUS <br />0-220 lbs/month <br />Customer certifies that (i) the above-named materials are properly <br />classified, packaged, marked and labeled, and are in proper condition <br />for transportation according to the applicable regulations of the <br />Department of Transportation and (ii) no material change has occurred <br />either in the characteristics of the waste/material or in the process <br />generating the waste/material. Customer agrees to pay the above <br />charges and to be bound by the terms and conditions (1) set forth in <br />(a) the General Terms and Conditions provided separately to Customer <br />or (b) any SK agreement signed by Customer and SK, and (2) <br />incorporated herein by reference. Unless otherwise indicated in the <br />payment received section, SK is authorized to charge Customer's <br />account for this transaction. Customer certifies that the individual <br />Page 1 <br />AUG 0 7 2015 <br />ENVIRONMENTAL <br />HEA17N nCDAQTAA0K1'r <br />