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w <br /> FACILITY USEPA ID ND CADOGOO84517 N <br /> FACILITY STATE 10 NO CAGOOD084517 N <br /> 7N <br /> David Buxton 06/13/12 11:47 PACE 1 <br /> BRANCH 7142 CSG 24IS <br /> N <br /> Safety-Kleen Systems , Inc. 3 <br /> 5360 Legacy Drive. T. <br /> Building 2. Suits 100 <br /> pl ono. Texas 75029 <br /> 800469-5740 <br /> 209-595-1011REFERENCE NOR. \ <br /> $8036313 <br /> I COSMMER# 3141996 ACME SAW SRVC NEEM: 2012.24 <br /> 214 N S41rM'AtO'St SRVC DATE: O6/13/12 11:47 m <br /> Lodi CA 95240-2132 r c <br /> PNONE 209-334-31196 d <br /> j WILL TO CUSTOMERS <br /> BILL <br /> ACME SAW� INDUSTRIAL SPLY <br /> 0002743822 1204 E Main St W Cs <br /> Stockton CA 95205.5514 TAX EXEMPTION NUR <br /> PURCHASE ORDER# SERVICES \ <br /> PRODUCT/ ' TOTAL E <br /> SERVICE/ pTy UNIT PRICE TAX CHARGE 0 <br /> PRODUCT 1! <br /> 1.001 175.7000 13.62 189.32 12 <br /> 94837 MODEL N9 W/2387 8 0317 w <br /> 5/N 6012073 'TA4 000012805806012073 CLEW! 4.00 SPENT 0.000 N <br /> SEW CF TEAM 8 WEER SCANNED I 00II 16.4500 1.27 V.12 rY <br /> 100001 FEE, FUEL SURCHARGE _. 192.1500 t9.89 207'04 1 <br /> TOTAL SEIMCE/PNO <br /> DUCTS a <br /> TOTAL CHPRGE 20000 W <br /> CREDITS <br /> - 207 04 <br /> . <br /> TOTAL DUE <br /> 04 <br /> 30 <br /> UNPAID BALANCE THIS RECEIPT 207. \ <br /> Machine clean andgood condition? Yes �o <br /> Loop AssemblY Condition Yes <br /> Decals in place and legible? Yes <br /> =Z y Fusible Hnk ins[alledT Yes <br /> 7 EmergLocalency clasin of lid unobw..ted? Yes <br /> D L (^)� Machine properly grounded? Yes <br /> =OSPent solvent acceptanck,r Affixe criteto ria?nYesef <br /> n ■ • 1 <br /> y'r[[Z saa` <br /> 3 m j GENERATOR STATUS <br /> ad1 p-220 lbs/month <br /> T <br /> tr • e • ioarked and labeled, anJ are in Rrapsr condition y <br /> Customer certifies that (i) the above-naneJ nw ter iels are Properly <br /> For transportation .,carding to the ayylicable regulations of the X <br /> DePartment of Tra+sportat ion and Ci i) nu a/terlrialhorU in l the Prolcess <br /> either in the characteristics of the was l+/inxLr the xbove A <br /> generating the waste/material fustmner agrees to NaY r~ <br /> charges and to be bound Ly the terms on J conditions (1) set forth in <br /> i t ♦l. and to Terns In f4ndWOOS provided Sep+ratelY to Custmner <br /> . . ...A <V. and (2) <br />