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06127107 13:36,PAUF 1 <br /> 7 1661=CSG <br /> tKlee <br /> 400aLegacy Dr <br /> Clutter 11, Building 3 o r� <br /> piano,9-645.10110xas 2 A a REFERENCE NBR �' <br /> 0034335435 d <br /> CUSTOMER# 370602 UNITED AUTO RPR SRVC WEEK: 07-26 <br /> SERVICE TAX: 0.08000 400 N. EL DORADO ST_ SRVC DATE: 06127107 13:01 .c <br /> F 95202 <br /> cogs TAX: 0,00000 <br /> CA <br /> STOCKTONPRODUCT 09-941-8218PHONE2Y <br /> TAX EXEMPTION NBR-. a <br /> PURCHASE ORDER# w <br /> PRODUCT/SERV I CES TOTAL <br /> _ <br /> SERV ICEI OTY UNIT PRICE TAX CHARGE <br /> PRODUCT 1 15.0000 0.00 15.00 ; <br /> 100009 FUEL FEE SURCHARGE 1 231,3000 0.00 231.30 <br /> 53835 COMS MDL.53 A016306 SPENT 0 <br /> SIN 448586 CLEAN 3 <br /> SERVICE TERM 16 1 120'.6000 0.00 120.60 <br /> 51830 COMS MDL 51_g016317 <br /> SIN 48587 CLE SPENT 0 <br /> SERVICE TER 16 --- --- <br /> 366.9000 0.00 366.90 Vk <br /> TOTALISERVIgEIPRO0UCTS <br /> GENERATOR ID CALO00074459 <br /> USEPA TRANSPORTER 1 TXR000050930 GENERATOR STATE E <br /> USEPA TRANSPORTERo <br /> MANIFEST TRA..,.ING 00054361oSKS1 FORM CODE 1D <br /> . <br /> US OOI UESC'RIPIION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND I <br /> c <br /> NON RCRA HAZARDOUS WASTE, LIQUID d <br /> (AQUEOUS PARTS WASHER SOLUTION) TTL QTY 50 UNIT WTIVOL G SKOOT 14941 <br /> TOTAL CONT 2 TYPE DMCODE CA 134 T <br /> CNT4 70602058801 QTY 30` WASTE CODE CA 134 CA CAT G d <br /> Cl�(� 70602058602 QTY 2U W <br /> A <br /> DESIGNATED FACILITY NAMEIADDRESS <br /> SAFETY-KLEEN SYSTEMS, INC. 3 <br /> 6000 88TH STREET ; <br /> CA 95828 <br /> SACRAMENTO 366.90 t* <br /> TOTAL CHARGE 0,00 <br /> USEPA ID NO CA0000084517 WASTE MIN __ ......... <br /> STATE ID NO 366.90 <br /> TOTAL DUE <br /> 366-90 <br /> UNPAID <br /> UNPAID BALANCE THIS RECEIPT <br /> Machine clean and good condition? Yes <br /> Decals in place and legible? Yes E <br /> Fusible link installed? Yes �py o <br /> Emergency closing of lid unobstrAted? 'Yes u <br /> Machine properly grounded? Yes C J, <br /> Spent so'Iverl meets acceptance criteria? Yes y <br /> Prop 65 warning (Calf, only)? Yes � <br /> GENERATOR STATUS 220 2200 lbs/month <br /> r+ <br /> The gereeralo, <br /> o9 has established a pr <br /> ram to reduce the volume or d <br /> quanIitY aril to"icily of the 11"Al WU5 was5te to the degree, as delennine ro <br /> by the generator, to be economically p <br /> raclicable• N <br /> i <br /> r condition <br /> Customer certifie d amarkedtand labeled, and aaeerinspaopeie proper <br /> r e1ly ; <br /> classified, pack livable regulations of the <br /> (or transportation according to the app <br /> Department of T,a' aril (ii) no material change has occur ed <br /> either in the characteristics of the wastelmalerial or in the process I <br /> set forth in (a) <br /> eIlhergene[Al11 the waste let is IIal, Customer agrees to pay the above <br /> charges and to be bound by the terms and conditions (l) incorporated <br /> the General Terms and Conditions provided sepaf'J (�)Customer or' <br /> (b) any SK a reement signed by Cuslurne and SK, a i nt <br /> herein by reference. Unless otherwise indicated in the p Y <br /> d to <br /> received sect!CUll SK usl erscertifriesethat <br /> the rylvdividuallsigninguthisuSe`vice <br /> 1. 1 r <br /> livable to Safety-Kieen s parts cleaner arul E <br /> ' <br /> Acknowledgement is duly auliwrized to sign arul birxl Costumer. <br /> The following provisiun is app O <br /> paint gun cleaner servie :orCayueuus cUIALgleaeinghsul0 ionl,liri ludiny wllhuulIY u <br /> substance into lire solve,,, <br /> i limitation any hazarduus waste ur Irazarduos waste cunstituenl, except <br /> ons <br /> to flu extent such iniruductiun is incidental to lire rwrnral use of the <br /> i Lhlurinated <br /> machii>e, Custou>er for liter agrees that it will not clean par lellrain y <br /> that have been cunlaminated with or slithe.1wise I ns'lltloorclisted Irazarduus o <br /> biphenyls (PCB's), herbicides, Pe' 40 <br /> 7+ <br /> waste into the solvent or aqueous cleaning solution. <br /> IN THE EVENT OF AN EMERGENCY CALL 1-800-468-1760 (24 hours) 46. <br /> N <br />