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25 LJ4•rv ...-
<br /> ,Y safety _
<br /> Kleen °
<br /> 5400 Legacy Qr
<br /> Cluster I4, Sundi w
<br /> Texas 7502
<br /> Pla2�9-545'1011 �ERENCE NDR N
<br /> -V
<br /> (10372` 782 ;0,
<br /> }RACY CHRYSLER .LEEP OOIiGL SRVC 41F-LK: as 11,.00 tea►
<br /> CUSIUMFR# ,�igea 3460 NAGLEE RD SRVC DATE: D4I06
<br /> SERVICE (A,X: 0 47760 CA IA
<br /> CONS TRK: a.wool)
<br /> RACY
<br /> PRODUCT TAX: a.07750 T (AX EXEMPTION NBR: 3
<br /> pHONE 209-820-laoo 3
<br /> PURCHASE ORDER# """ T f SERV 1 CES TOTAL
<br /> p R 01]U C TAX CHl,RGL
<br /> Olv UN1T PR—lr� 0,00 13.013
<br /> SERVICE1 0 0.0000 1.45 2D,2.2 9
<br /> PRODUCT 1 18,770D 14,85 2u6.44
<br /> 2397 }{!ATEA PUMP MODULE ASSFMBL 1 191.5900T 0
<br /> 100009 FUEL FEE SURCHARGE
<br /> 9(637 MDDEL 9D WI2387 &6317 14.85 2Dfi.44 w
<br /> SIN 112138 Lo
<br /> TAG TDooaoDDXX9D2a9�56 CLEAN $ 1 191.59(4
<br /> SERVICE TEAM a SPENT D
<br /> 90637 MODEL 90 Wf2387 &6317 D,nD 0,00
<br /> SIN 50a79 TAG TODDDDODXX9020965I CLEAN 5 1 O,DDOD
<br /> SERVICE IBM a SPENT U
<br /> 92387 2387 Pl1MP ASSEMBLY 9 CLEAN 0
<br /> 0
<br /> SIN 137011286 TAG TDODUUDOKX902DgEi4 1 0,0000 0.q0 U.Da u
<br /> SERVICE TEAM a SPENT u
<br /> ASSEN�LY d
<br /> 92367 2367 PUMPCLEAN _ a
<br /> SIN 87a508799VAUODU$X9a2agfi50 31,15 433 lU ;
<br /> 401.95(13 y,
<br /> TOTAL SERV ICEIPRDDUCTSID CALoo 3323% d
<br /> I;tNE.RATUR ,r
<br /> GENERATOR STATE N
<br /> OVA 1RANSPURIER 1 T)tR00Ds15093U 1D
<br /> USEPA TRANSPORTER # a0107a414SKS EDM COOE til
<br /> MANIFEST TRACKING
<br /> >tR Sri ll'I'1Nti NAME., 11A1 ARD t�,l t��;z
<br /> N lul( UE�.131PIIUN WASTE, L10IIfl SRDOI 14'1341 tt
<br /> I�1N RCRA IiAZAAQD1J5 R SOLUTIDN) TTL OTY 30 UNIT WTIVOL G �.
<br /> tAl]UEOUS PARIS WASIiE TYPE QM W
<br /> CHT# 6Da23ob325ASTE CODE CA 134 CA CAT G
<br /> 101AL CON( 2 WASTE CGDE CA 134
<br /> a QTY 15 'p
<br /> CNT# 80623u636
<br /> QESIGNATEO FACILITY NAW' D5E�'
<br /> 613 UT�jN Si SAY�TE!^l5, INC• 9562fi �
<br /> CA
<br /> 4`y3.1D zz
<br /> SACRAMENTO TOTAL CHARGE 0.00 E
<br /> USEPA ID No CA0000DWASTE MIN ------ °a4517 433,14 u
<br /> STATE 44 NO TOTAL DUE -
<br /> d
<br /> d
<br /> 433.10
<br /> UNPAID BALANCE THIS RECEIPT
<br /> r+
<br /> 7 Yes cp
<br /> �,d cund'&on. y-
<br /> Machine clean arlrl 8 ible? Yes i6
<br /> lace and te4 N
<br /> Decals in P structed7 Yes
<br /> Fusible 1 ink instaote I id les
<br /> ;
<br /> Emergency c4u^:.I I4,0 3
<br /> Machine plow Iv grow tance crileria
<br /> 7 Vey
<br /> Spent solvent n (Calf, o IY)7 Yes
<br /> Prop 65 warning
<br /> G. ok.-OR STATUS 224 2200 4kaslmonth
<br /> Iu Iam to Ieduce; the v9llll�-a51Clr•le1u.;s+t'rI y
<br /> ui tle hatalUa,u'slw�ciJeJU
<br /> ablet
<br /> The Gen 1 nll lux.f teI lyabl I shecl 'a µ
<br /> aill'aSrll ly economical ly N '
<br /> by the yenerato,, Lo be rA maul ills ale lnuysel 1y
<br /> + I1e above-nal Lunali lion
<br /> labeled, xsnl are in ;Jlul3rl
<br /> Cuslulnea e1lilies llsal�tkel 'alsd sliaable Ie3ulali91is u( lire
<br /> tlasaifieD. Yaskad, (a, occulted
<br /> ul talion 'acLur�ling 19 7llveiapltru Inaler ill cllelaye }Dress �
<br /> (91 1.1-slJ TIAiI]IJ EAlion alwd \ ) O
<br /> Q ra1llienl ut a l4ae above u
<br /> re N
<br /> eillrer in the Llraral:tel te$;l °( the w'astell lel ill q11 Ilset (ultb in la}
<br /> C
<br /> buusul by ualely to CaISt911^el ul y,
<br /> 9 p'Y
<br /> lire terms atu1 L,slxlll1°n' ( incorlxnaled
<br /> �I�IaslanUtllu lresle111*atea1i•al. Cuatuurel. aylL�es 1
<br /> 1111311 Sµyi 119115 9" ided 4 ` asKl t2) O
<br /> 11, Gelwlnna��l Telsas alx(Coned by Customer Alta(SK, Ja +Icnl 1,'Is
<br /> (b) ally SX atg,blVe11t SIC] 1
<br /> { 11ere'sII by Ie(e1ence chart Custulrel s acluun4 Irl 1
<br /> llnt"s otherwise ind'Icaled iI
<br /> SK is autllul ILeat lu se i+
<br /> ereived seLtiurs, iMliv4lual sianilwl this 51'Ivice
<br /> my autlwl fixed to sign 'and bi+sal Custulel
<br /> Kleesr's p'as Ls d1r,"wl and go
<br /> tranaac:liun. Cusluu�el rel til il�s lva
<br /> >e
<br /> Acklwwlec4a]elnelll is Jlicahle to S+(etY. iob,xlucr any an
<br /> Tlrr. Ivll9wilxy wluv'Isivn Is "atx so 1;
<br /> iarllw(llµl wit4arut
<br /> run clearsel ,elvic.e5'. Cus1w1'd1 rglees that it will rx� excel,t
<br /> tJaint a „r uel,us tearsIku 3
<br /> salLsl`ance into the Sulvelll 1 k
<br /> haeelduuOle
<br /> s waste u' haeara ul, vrasle t:unstilQ4 ,int gull';
<br /> 1 iw;Lat1011 any clean lids 1011
<br /> Is.., xlrs+l suuh inlluSutl.,uw.Itklalr,Il�elw4tl luttkselnui6'�11yr1elurlilaItd
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