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CSG SK-SSL-VAC-42 Benjamin D Taylor 02/07/18 16:45 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# KI18372 Kia Country 76065959 <br /> 1515 N Main St SRVC WEEK: 2018-6 <br /> Manteca CA 95336-3243 SRVC DATE: 02/07/18 <br /> PHONE 999-999-9999 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> KI18372 Kia Country <br /> 1515 N Main St <br /> Manteca CA 95336-3243 <br /> PHONE 999-999-9999 <br /> PURCHASE ORDER# 82315 TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 10967 VAC SERVICE FEE AUTOMOTIV 1.000 0.0000 0.00 0.00 <br /> 66667 VACUUM LIQUID (NON-PQUAL) 864.000 0.0000 0.00 0.00 <br /> SERVICE TERM 52 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 6 <br /> # CONTE: 1 TSDF: EVG MANIFEST#: 65959 FORM CD: BL SHIP# 224660472 <br /> CNT#: 180207509264 QTY: 1151 WT/VOL G PROF# 156097 SKDOT 3299 <br /> 66677 VACUUM SOLID (NON-PQUAL) 287.000 0.0000 0.00 0.00 <br /> SERVICE TERM 52 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 6 <br /> 10903 VAC. SVS SERVICEFEE 3 1.000 0.0000 0.00 0.00 <br /> 10913 VAC TRUCK WASH 1.000 0.0000 0.00 0.00 <br /> 82118 HALOGENS TEST 1.000 0.0000 0.00 0.00 <br /> 10973 FEE, VAC 308 SOLIDS 1151.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 0.0000 0.00 0.00 <br /> TOTAL CHARGE 0.00 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 0.00 <br /> -------------- <br /> UNPAID BALANCE THIS RECEIPT 0.00 <br /> Per BOG M420-001 the halogen detecting instrument has been <br /> zeroed and validated. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to pay the above charges <br />