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0 <br />BRANCH SSL CSG 24 David Buxton 03/31/14 10:11 PAGE 1 <br />RECEIVE[, <br />Safety-Kleen Systems, Inc. <br />2600 N Central Expy, Suite 400 AUG 0 7 2015 <br />Richardson, TX 75080 <br />CORPORATE: 800-669-5740eENVIRONMENTAL <br />24 HR EMERGENCY: 800-468-1760 (Safety-Klen) <br />2095451011 <br />REFERENCE NBR. <br />CUSTOMER# MC22499 Mcneilus Truck 63400262 <br />3100 N Ad Art Rd SRVC WEEK: 2014-13 <br />Attn: Ralph Cortez SRVC DATE: 03/31/14 10:10 <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/ TOTAL <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />40701083/ <br />876530 CAL UNIVERSAL AEROSOLS 55 1.000 404.2500 0.00 404.25 <br />SERVICE TERM 24 WEEK <br />CSM REMARKS N/A <br /># CONTS: 1 TSDF: S3 MANIFEST#: 00262 FORM CD: BL SK SHIP# 212750526 <br />CNT#: 140328496720 QTY: 125 WT/VOL P PROFILE: 040701083SKDOT 7369417 <br />6003369 DRUM, 55 GL BLACK STEEL 0 1.000 71.4000 5.71 77.11 <br />SERVICE TERM 24 WEEK <br />100001 FEE, FUEL SURCHARGE 1.000 16.7800 1.34 18.12 <br />----------------------------------------- <br />TOTAL SERVICE/PRODUCTS 492.4300, 7.05 499.48 <br />TOTAL CHARGE 499.48 <br />CREDITS 0.00 <br />--------------- <br />TOTAL DUE 499.48 <br />UNPAID BALANCE THIS RECEIPT 499.46 <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 />Page 12 <br />