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CSG SK-SSL-BOX-21 Brandon J Gaither 02/03/17 13:11 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 72775253 <br /> 2577 W Yosemite Ave SRVC WEEK: 2017-5 <br /> Manteca CA 95337-9641 SRVC DATE: 02/03/17 13:09 <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 /> 90837 MODEL 90 W/2387 & 6365 1.000 274.7600 22.67 297.43 <br /> S/N 13130315 TAG 00001170SK13130315 CLEAN 2.50 SPENT 0 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 83383 DRUM,55 WASTE O.F. 1.000 108.1600 0.00 108.16 <br /> SERVICE TERM 2 WEEK <br /> 3383 DRUM,55 GAL FOR O.F. 5.000 20.6000 0.00 103.00 <br /> SERVICE TERM 2 WEEK <br /> 898560 CARTRIDGE OIL FILTERS 55G 4.000 265.0000 0.00 1060.00 <br /> SERVICE TERM 8 WEEK <br /> # CONTS: 4 TSDF: WI MANIFEST#: 005862687SKS FORM CD: US SHIP# 221523686 <br /> CNT#: 170104412153 QTY: 150 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> CNT#: 170104412152 QTY: 150 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> CNT#: 170104412151 QTY: 150 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> CNT#: 170104412154 QTY: 150 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> 100001 FEE, FUEL SURCHARGE 1.000 10.5000 0.87 11.37 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 5.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 679.0200 23.54 1579.96 <br /> TOTAL CHARGE 1579.96 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 1579.96 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 1579.96 <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 /> 220-2200 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 /> for transportation according to the applicable regulations of the <br />