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BRANCH SSL CSG 22 Jose Moran 11/18/14 09:36 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: B00-468-1760 (Safety-Kleen) <br />2095451011 <br />UNPAID BALANCE THIS RECEIPT '419.71 <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 />signing this Service Acknowledgement is duly authorized to sign and <br />bind Customer. The following provision is applicable to Safety-Kleen's <br />parts cleaner and paint gun cleaner services: Customer agrees that it <br />will not introduce any substance into the solvent or aqueous cleaning <br />Page 14 <br />RECEIVE L <br />AUG 0 7 2015 <br />ENVIRONMENTAL <br />!.lCa � rV 'lCf]� ArRN�A 1T <br />REFERENCE NBR. <br />CUSTOMER# MC22499 Mcneilus Truck <br />65461555 <br />3100 N Ad Art Rd <br />SRVC WEEK: 2014-47 <br />Attn: Ralph Cortez <br />SRVC DATE: <br />11/18/14 09:36 <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# <br />TAX EXEMPT# <br />PRODUCT/SERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT QTY <br />UNIT PRICE <br />TAX CHARGE <br />40701083/ <br />876530 CAL UNIVERSAL AEROSOLS 55 1.000 <br />404.2500 <br />0.00 404.25 <br />SERVICE TERM 24 WEEK <br /># CONTS: 1 TSDF: SJ MANIFEST#: 61555 <br />FORM CD: BL SK <br />SHIP4 214723675 <br />CNT#: 141117205612 QTY: UO WT/VOL P <br />PROF# 40701083 <br />SKDOT 7369417 <br />100001 FEE, FUEL SURCHARGE 1.000 <br />----------------------------------------- <br />15.4600 <br />0.00 15.46 <br />TOTAL SERVICE/PRODUCTS <br />419.7100 <br />0.00 419.71 <br />TOTAL CHARGE <br />419.71 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />--------------- <br />419.71 <br />UNPAID BALANCE THIS RECEIPT '419.71 <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 />signing this Service Acknowledgement is duly authorized to sign and <br />bind Customer. The following provision is applicable to Safety-Kleen's <br />parts cleaner and paint gun cleaner services: Customer agrees that it <br />will not introduce any substance into the solvent or aqueous cleaning <br />Page 14 <br />RECEIVE L <br />AUG 0 7 2015 <br />ENVIRONMENTAL <br />!.lCa � rV 'lCf]� ArRN�A 1T <br />