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iANCH 718501 CSG 24 BLACK,DAAMON 08109104 10:41 PAGE 1 ;H 718501 CSG 24 BLACK,DAAMON 10104104 12:58 PAGE 1 JSTOMER# 2906934 _RVICE TAX: 0.07750 )MS TAX: 0.00000 fODUCT TAX: 0.07750 PONE 209-465-2521 JRCHASE ORDER# Safety-Kleen IF 5400 Legacy Dr. SERV I PRODUCTT CQTY UNIT PRICE TAX PRODUCT CHARGE Cluster II, Building 3 8.15 157.85 94830 MODEL 94 W1237016317 Plano, Texas 75024 1016361 CLEAN 2 SPENT 0 ROOT 209-545-1011 REFERENCE NBIR BOBS GERMAN AUTO REPAIR CAL000271458 TEPA THANSPORTER 1 TXR000050930 GEN 0026800725 2230 N WILSON WAY SRVCEK: ATE: 04-32 SRVC 08109/04 10:24 STOCKTON CA 95205 TAX EXEMPTION NBR: )UEOUS PMTS WASHER SOLUTION (8.3#GAL) ON OTY 15 ICAL134 SKDIIT 941 PRODUCT/SERVICES TOTAL SERV I PRODUCTT CQTY UNIT PRICE TAX PRODUCT CHARGE SERIAL# 100009 FUEL FEE SURCHARGE 1 8.1500 0.00 1 146.5000 11.35 8.15 157.85 94830 MODEL 94 W1237016317 TAX 1016361 CLEAN 2 SPENT 0 ROOT SERVICE TERM 8 -------------- ---------- TOTAL SERVICEIPRODUCTS 154.6500 11.35 166.00 CAL000271458 TEPA THANSPORTER 1 TXR000050930 GEN 0.00 11.35 3EPA TRANSPORTER 2 GENERATOR STATE 94830 MODEL 94 W123701631SPENT ANIFEST DOC # 23695158 FORM CODE 1D 001 DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND 10 6361 CLEAN 2 0 3ED CLEANING COMPOUNDS, N.O.I.B.N. IQUID (NOT USQOT OR USEPA REGULATED) SERVICE TERM B )UEOUS PMTS WASHER SOLUTION (8.3#GAL) ON OTY 15 ICAL134 SKDIIT 941 OTAL CONT 1 CONTAINER#PE 40717079341L OTY 15 WASTEICODENIT ESIGNATED FACILITY NAMEIADDRESS: AFETY-KLEEN SYSTEMS, INC. 166.00 050 SALIDA BLVD CA 95368 ALIDA SEPA ID NO CAT000613968 TOTAL CHARGE 166.00 0.00 TATE ID NO CAT000613%8 WASTE MIN TOTAL DUE 166.00 MOUNT PAID UNP6.00 AID BALANCE THIS RECEIPT0.00 achine clean and good condition? Yes ecals in place and legible? Yes usible link installed? Yes mer'gency closing of lid unobstructed? Yes achine properly grounded? Yes pent solvent meets acceptance criteria? Yes rop 65 warning (Calf. only)? Yes ENERATOR STATUS, 0 - 220 lbs/month he generator has established a program to reduce the volume or uantily arrd toxicity of the hazardous waste to the degree, as determined y the generator, to be economically practicable. :ustomer certifies that (i) the above-named materials are properly lassified, packaged, marked and labeled, and are in proper corxlilion or transportation accordirx� (o the applicable regulations of the lepartment of Transportation aril (ii) tic) mater ial change has occurred !ilher in the characteristics of the waste materials or in the process generating the waste materials. Customer agrees to pay the above :haryes and to be bound by the terms and conditions (1) set forth in (a) he General Terns and Conditions provided separately to Customer or b) any SK agreement signed by Customer and SK, and (2) incorporated rerein by reference. Unless otherwise indicated in the payment eceived section, SK is authorized to charge Customer's account for this ransaclion. Customer certifies that the individual signing this Service lcknowledgement is duly authorized to sign and bind Customer. N THE EVENT OF AN EMERGENCY CALL 1-800-468-1760 (24 hours) SIGNATURE NAME: BOB GARCIA ety -KIeen 400 Legacy Dr. Cluster II, Building 3 Plano, Texas 75024 209-545-1011 REFERENCE NBR ]MER# 2906934 BOBS GERMAN AUTO REPAIR SRVC WEEK: 04-40 0027235168 ICE TAX: 0.07750 2230 N WILSON WAY SRVC DATE: 10104104 12:49 TAX: 0.00000 CA 95205 JCT TAX: 0.07750 STOCKTON 209-465-2521 TAX EXEMPTION NBR: HASE ORDER# PRODUCT/SERVICES TOTAL ERVICEI QTY UNIT PRICE TAX CHARGE ROOT RIAL# 100009 FUEL FEE SURCHARGE 1 8.1500 1 146.5000 0.00 11.35 8.15 157.85 94830 MODEL 94 W123701631SPENT 6361 CLEAN 2 0 SERVICE TERM B --------- -------------154.6500-----11.35 TOTAL SERVICEIPRODUCTS 166.00 'A TRANSPORTER 1 TXROOOD50930 GENERATOR USEPA CAL000271458 'A TdANSPORTER 2 GENERATOR STATE FEST DOC # 23703873 FORM CODE 10 K)T DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID I CLEANING C(MPOUNDS, N.O.I.B.N. IID (NOT USOOT OR USEPA REGULATED) :ODS PMTS WASHER SOLUTION !8.3#GAL) tL CONT 1 OTY 19 CONTAIIfETY 40911080976L QTY 19 WASTEICODE ICAL134 SKDOT 941 IGNATED FACILITY NAMEIADDRESS: :TV-KLEEN SYSTEMS, INC. ) SALIDA BLVD CA 95368 IDA )A ID NO CAT000613968 TOTAL CHARGE rE ID NO CAT000613%8 WASTE MIN TOTAL DUE JNT PAID CHECK 1286 166.00 UNPAID BALANCE THIS RECEIPT 0.00 hine clean and good condition? Yes als in place and legible? Yes ible link installed? Yes rgency closing of lid unobstructed? Yes hine properly grounded? Yes nt solvent meets acceptance criteria? Yes p 65 warning (Calf. only). Yes ERATOR STATUS 0 - 220 Ibslmonth 166.00 ---------0.00 166.00 generator has established a program to reduce the volume or ntity and toxir.ity of the hazardous waste to the degree, as determined the generator, to be economically practicable. toter certifies that (i) the above-named materials are properly .ssified, packa3ed, marked and labeled, and are in proper condition transportation according to the applicable regulations of the artment of Transportation and (ii) no material change has occurred her in the characteristics of the waste materials or in the process re rating the waste materials. Customer agrees to pay the above irges and to be bound by the terms and conditions (1) set forth in (a) General Terms and Conditions provided separately to Customer or i any SK agreement signed by Customer and SK, and (2) incorporated ein by reference. Unless otherwise indicated in the payment :eived section, SK is authorized to charge Customer's account for this rnsaction. Customer certifies that the individual signing this Service r. THe1duly authorized to 91bind urs E EVENT OF AN EMERGENCY CALL 1-800468.760(24hou) 3� SIGNATURE NAME: BRENDA GARCIA