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Ju1.01.2025 11:57 AM BF -KERS TRANSMISSION 209339F"13 <br />BRANCH SSL CSG PW -'24 Daviu t, nuxtun 06/30/]5 11:52 PoV;e 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Cunl. rot Expy, SUite 200 <br />Ri rlm[uann, TX '15090 <br />CORP08ATEr UUQ-669-5740 <br />24 RR EMENGY',NC'f: 000-461-1760 (Ya act Y^%leAnl <br />2096451011 <br />COETOMER, AA11DO <br />BILL TO CUSTUMRRN <br />M11000 <br />PURc%,4z ORDERV <br />HFNVICE/ <br />PRODUCT <br />DIP <br />63383 <br />100001 <br />1230 <br />DRUM155 CAL FOR D.P. <br />RCPE1tENCE HDR. <br />20.0000 <br />67453108 <br />$AVC <br />WESK: 3D 16-27 <br />334 L ckl:mleslon <br />334 D L45240-2 3< <br />06/70/15 11:.51 <br />Lodi CA NS24U-2333 9AVC UAI'E: <br />PHONK 209-334-5101 <br />1.000 <br />117.1, TO ADORE&S: <br />0.00 <br />AaR6n6 Transmirtn)0,1 <br />SKRVICE T9RM 24 WEEK <br />334 E wckcfard St <br />12.000 <br />Lodi, CA 05240-2333 <br />12.16 <br />PNONC 209-314-510] <br />1.000 <br />0.0000 <br />'A'A% FOCP2tPTR <br />PRODUCTISERVICES <br />,...,..._____ <br />TOTAL EEhV)CE/PRODUCTS <br />-_1111. <br />rGTIW <br />QTY UNIT PRICE 1'AY. <br />CHARGE <br />DRUM155 CAL FOR D.P. <br />1.000 <br />20.0000 <br />0.00 <br />Moe <br />SERVICE TERM 24 BEEN <br />mOM,5h BASTE O.P. <br />1.000 <br />36.7SVO <br />0.00 <br />36.76 <br />SKRVICE T9RM 24 WEEK <br />1.000 <br />12.000 <br />0100 <br />12.16 <br />PCE, FUEL SURCNMGE <br />TM RMDLING N/C DRUM DROP 30 <br />1.000 <br />0.0000 <br />0.00 <br />0.00 <br />,...,..._____ <br />TOTAL EEhV)CE/PRODUCTS <br />-_1111. <br />66.9000 <br />0.00 <br />68.90 <br />TOTA1. CHARGE <br />66.90 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />..__'------___-. <br />68.90 <br />ANOONTPAID 7028 69.90 <br />UNPAlU %ALAI4CG THIA RECEIPT 0.00 <br />OTHER PAYMENTS <br />66339729 CHECK iU2E 482.20 <br />TOTAL (nHFR pAymemT6 RECEIVED 402.20 <br />GENERATOR 'N- XIUS <br />0-220 lbs/wonlh <br />Cuutrnwr cer0liu9 that 111 the above-'nd-wd nateriffl" ate prOparly <br />claealfjed, pacrag9d, marked and labOled, and arc in proper condition <br />for tranapurtatlon dCVO,dlnq tV the app).lcdbie iequlatlen0 of the <br />Uaparhment of Tranoportatlon and IISI no piatulal chw,911 1130 6Ccurred <br />ei<hor to rhs cha.acteriuttcs 0 t'ho Baktb/material nr In the Precede <br />yens ra r.lny Che ".—I.e/material. Cnnrmmur agaemn to pey the abgvo <br />C.hargm0 and to ho bound by r3ie tetmn And conditions (17 set fPfth in <br />W ti,. GenRKaireemantndiCiloLrovijd d SrKo and11210 Cuctaaer <br />or (b) any 9 9n dbY Cusomern <br />Incorporated harbin by rvferanbu. Unie09 bLlwrNl Be I.ndl.mdud in th6 <br />pavpent re.ived usutlan, SK Is authori"d to Ohargn Customer's <br />aacoUnt Car this tronsaClloG. CasComet eetalfic7; that the indlvfdubl <br />91gn1 ny Chia Su[ -vice AcknawleU9Cwvnlis duly authorixed to stgA and <br />YlIDtoe.b ;.hc foliowlny V,OV[61nn ie applicable t6 Sofpty-Kiesn's <br />willOILanot OAet t..roducnAACI panyt Auh.tancen into the raolvm 1 o9er pe us•claaninqthat • <br />solution. innludlnq without Limitation any hprardouo w+nae Or <br />herard006 waste CnHatltuent, except to the patent gVah intmdbCtlOn is <br />PAGE. 2/ 5 <br />JUL 02 2015 <br />I�NVIRONMENTAI <br />+ - ^rgi7T�errt:+ <br />