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CSG SK-SSL-BOX-21 Brandon J Gaither 07/18/16 10:36 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# GA15065 Gardner Trucking/Classic Sales In 70883544 <br /> 2577 W Yosemite Ave SRVC WEEK: 2016-30 <br /> Manteca CA 95337-9641 SRVC DATE: 07/18/16 10:33 <br /> PHONE 785-690-0109 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> GA15065 Gardner Trucking/Classic Sales In <br /> 2577 W Yosemite Ave <br /> Manteca CA 95337-9641 <br /> PHONE 785-690-0109 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 83383 DRUM,55 WASTE O.F. 2.000 108.1600 0.00 216.32 <br /> SERVICE TERM 2 WEEK <br /> 3383 DRUM,55 GAL FOR O.F. 2.000 20.6000 0.00 41.20 <br /> SERVICE TERM 2 WEEK <br /> 90837 MODEL 90 W/2387 & 6365 1.000 259.2000 22.03 281.23 <br /> SIN 13130315 TAG 00001170SK13130315 CLEAN 3.00 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 1.000 47.4800 4.04 51.52 <br /> SERVICE TERM 4 WEEK <br /> 814374/ <br /> 875120 LCCRQ 55GL LP AEROSOLS FO 1.000 351.7500 0.00 351.75 <br /> SERVICE TERM 4 WEEK <br /> # CONTS: 1 TSDF: SJ MANIFEST#: 77274 FORM CD: BL SHIP# 219779925 <br /> CNT#: 160718954604 QTY: 125 WT/VOL P PROF# 814374 SKDOT 7481696 <br /> 100001 FEE, FUEL SURCHARGE 1.000 10.1800 0.87 11.05 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 2.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 797.3700 26.94 953.07 <br /> TOTAL CHARGE 953.07 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 953.07 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 953.07 <br /> Machine clean and good condition? Yes <br /> Lamp Assembly Condition Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Local Phone No. Sticker Affixed to Machine Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, and are in proper condition <br />