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10 0 <br />BRANCH SSL CSG 24 David Buxton 02/27/14 08:38 PAGE 1 RECENEE <br />Safety-K1een Systems, Inc. <br />AUG U 7 2015 <br />2600 N Central Expy, Suite 400 <br />Richardson, TX 75080 <br />V R N ��/' <br />[ <br />ENTAj <br />24 HR EMERGENCYY: 800-468-1760800-669-5740 <br />(Safety-Kleen) <br />^� '��hRT1R�ly�r <br />2095451011 <br />REFERENCE NBR. <br />CUSTOMER# MC22499 Mcneilus Truck <br />63161454 <br />3100 N Ad Art Rd SRVC WEEK: 2014-9 <br />Attn: Ralph Cortez SRVC DATE: <br />02/27/14 08:38 <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 UNIT PRICE <br />TAX CHARGE <br />7646 ABSORBENT, OIL AND LIQUID 16.000 5.4600 <br />6.99 94.35 <br />SERVICE TERM 24 WEEK <br />8003369 DRUM, 55 GL BLACK STEEL O 1.000 71.4000 <br />5.71 77.11 <br />SERVICE TERM 24 WEEK <br />40701082/ <br />875460 NON HAZARDOUS SOLID 35GL 1.000 229.3200 <br />0.00 229.32 <br />SERVICE TERM 24 WEEK <br /># CONTS: 1 TSDF: RL MANIFESTO: 004211915SKS FORM CD: US SK <br />SHIP# 212509116 <br />CUT#: 140225585174 QTY: 400 WT/VOL P PROFILE: 040701082SKDOT <br />7168379 <br />100001 FEE, FUEL SURCHARGE 1.000 16.1200 <br />1.29 17.41 <br />--- <br />------------------------------------- <br />TOTAL SERVICE/PRODUCTS 322.3000 <br />7 <br />13.99 418.19 <br />TOTAL CHARGE <br />418.19 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />--------------- <br />418.19 <br />UNPAID BALANCE THIS RECEIPT 418.19 <br />GENERATOR STATUS <br />0-220 lhs/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 />Page 29 <br />