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CSG SK-SSL-VAC-42 Johnny Owens 04/22/19 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 79861639 <br /> 2577 W Yosemite Ave SRVC WEEK: 2019-17 <br /> Manteca CA 95337-9641 SRVC DATE: 04/22/19 <br /> PHONE 209-249-3204 <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 209-249-3204 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 66667 VACUUM LIQUID (NON-PQUAL) 1400.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 6 <br /> 66677 VACUUM SOLID (NON-PQUAL) 1400.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 6 <br /> # CONTS: 1 TSDF: EVG MANIFEST#: 61639 FORM CD: BL SHIP# 228280914 <br /> CNT#: 190422936542 QTY: 2800 WT/VOL G PROF# 156097 SKDOT 3299 <br /> 10967 VAC SERVICE FEE AUTOMOTIV 1.000 181.8300 0.00 181.83 <br /> SERVICE TERM 24 WEEK <br /> 100030 RECOVERY FEE 1.000 80.0000 0.00 80.00 <br /> 100065 E-Manifest Fee 1.000 10.0000 0.00 10.00 <br /> 10975 FEE, VAC 50% SOLIDS 2800.000 1.7600 0.00 4928.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 273.5900 0.00 5199.83 <br /> TOTAL CHARGE 5199.83 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 5199.83 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 5199.83 <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 />