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08/30/2005 15:19 2094667533 WEBER INST PAGE 02/14 <br /> BRANCH 718501 CSG 24 BLACK,DAMON 06122106 11:26 PAGE 1 <br /> Safety-Kleen <br /> 5400 Legacy Dr. <br /> Cluster 11, Building 3 <br /> Plano, Texas 76024 <br /> 209-545-1011 <br /> CUSTOMER# 2427768 WEBER HIGH SCHOOL <br /> SERVICE TAX: 0,06000 302 W WEBER AVE e"8116EEK; 06-2600 <br /> COKS TAX: 0,00000 SRVC DATE; 06122105 11119 <br /> PRODUCT TAX! 0.08= STOCKTON CA 95201 <br /> PHONE 20-144-4631 <br /> PURCHASE ORDER# 'FAX E TI NOR: <br /> SERVICE) PRODUCT/SER V I <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> SER IAL# <br /> 100009 FUEL FEE SURCHARGE 1 6,1600 0.00 8115 <br /> 55835 COMB MOL 86 AO/6306 1 399.7500 0.00 399.75 <br /> 806768 CLEAN 6 SPENT 0 <br /> SERVICE TERM 12 <br /> 90030 MODEL 90 W/2370 &6317 1 726,4400 18,12 244.55 <br /> 20242 CLEAN 5 SPENT 0 <br /> V11 SERVICE TERM 12 <br /> 92383 2383 PUMP ASSEMBLY 1 0.0000 0.00 0,00 <br /> 83320702 CLEAN 0 SPENT 0 <br /> SERVICE TERM 12 <br /> -------- -------------------*...... <br /> TOTAL SERVICEIPRODU <br /> CTS 6343400 18.12 652.46 <br /> USEPA TRANSPV5 1 TYR000050930 GENERATOR USEPA CAL00004i958 <br /> USEPA TRANSPORTER 2 GENERATOR STATE <br /> MANIFEST Clr 1� — <br /> FORM CODE 10 <br /> US DOT DESCRIPTIO' (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AW) 10 <br /> USED CLEANING COMPOUNDS, N.O.i.B.N. <br /> LIQUID (NOT USOOT OR USEPA REWLATEO) <br /> AQUIEDUS PARTS WASHER SOLUTION (6.3#GAL I <br /> TOTAL CONT 2 TYPE DM TTL QTY 66 UNIT WTIVOL G SKDOT 941 <br /> CONTAINER#60526077776 CITY 26 WASTE CODE CA 134 <br /> CIMTA'NcR# 60528077277 QTY 30 WASTE COBE CA 134 <br /> DESiGNATED FACILITY NAME/ADDRESS, <br /> SAFETY-KLEEN SYSTEMS, INC, <br /> 6050 SALIDA BLVD <br /> SALIDA CA 95368 <br /> USEPA 10 NO CAT000613968 TOTAL CHARGE 652.46 <br /> STATE ID NO CAT00061M WASTE MIN 0.00 <br /> ............. <br /> TOTAL DUE 652,46 <br /> UNPAID BALANCE THIS RECEIPT <br /> Machine elcn and good condition? Yes <br /> Decals in place and legible? Yes <br /> Fusible h4 installed'? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machlne properly grounded? Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> Prop 55 w,rning (Calf. only)? Yes <br /> GENERATOR STATUS 0 - 220 Ibs1month <br /> tor has established a progrmo to reduce the volume ur <br /> The genera <br /> quantity and luxici ty of the lla?a duu.R waslo., fu the degree. -eS da termirted <br /> by the generator, to be economically practicable. <br />