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CSG SK-SSL-VAC-42 Benjamin D Taylor 04/14/20 12:20 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 42 Lengwater Drive <br /> Harwell, MA Oz061 <br /> CORPORATE; 800-669-5740 <br /> 24 HR EMERGENCY; 800-468-1760 (Safety-Kleen) <br /> 7095451011 <br /> REPERRIVCE NRR, <br /> aNTOMERM 13R34504 Brake Masters 0163 82900855-2001915868 <br /> 1210 N Tracy Blvd SRVC WEEK: 2020-16 <br /> Tracy CA 45276.3495 SWC DATE: 04)14/[0 <br /> PHONE 249.836.3500 <br /> BILI.TO CUSTOMERA BILL TO ADDRESSI <br /> RR340p5 Brake.MAsters <br /> 6179 E Broadway Blvd <br /> Tucson Az 85111-0000 <br /> PHON£.Sr:o-Siit�0000 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCTJSERVICES. <br /> SERVICE/ TDTAL <br /> PRODUCT OY UNIT PRICE TAX CHARGE <br /> food? VAaQM LXg1LXls Oft-PQUAL) 9"'WG 1.3500 0.00 1347.30 <br /> SERVICE TEAM 24 WEEK <br /> HALOGEN )CLOR-D-TELT TEST RESULT PASS: PPM 4 1000 <br /> VAC PH TEST; 9 <br /> 66677 VACUUM SOLID QM-PQUAL) 816.000 1.3500 0.00 1101.40 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / C'LOR-P-TELT TFST RESULT PASS: PPM a 1000 ,. <br /> VAC PH TEST: 9 <br /> #CONT%: 1 TSDF: MANXFEST*: 90085 FORM £D: BL SHIP! 231169116 <br /> CNT0, 200414907309 QTY[,1014 NTNOL U PRDF#156097 SOOT 3299 <br /> 10967 VAC SERVICE FEE ALl76M0M i_00O 0.0000 0.00 0.00 <br /> SERVICE TERM 52 WEEK <br /> 100065 E-Manifest Fee 1.000 20,0000 0.00 20.00 <br /> .20775 FM VAI: 3UN 50LIUS 1614.NO 0.0000 0.00 0.00 <br /> 10913 VAC TRACK WASH 2.000 360.8W 0.00 600.00 <br /> 82118 HALOGENS TEST 1.qM 120.0000 0.00 120.00 <br /> .. ....._..._ - `---- ------- <br /> TOTAL SERYL€E/PROOucTs •42.7am 0.00 3180,90 <br /> TOTAL CHARGE 1168.90 <br /> CREDIT'S 0100 <br /> TOTAL I{ --31aa.9D - <br /> DU <br /> UNPAID SALANCE V= RRCEWT _231,38.90 <br /> Per ROG M420-001 the haloVen detecting instrument has baen <br /> zeroed and vRlidpted. <br /> GENERATm 5TATur. <br /> CE-W, VRbir-10 <br /> Customer certifies that (i) the above-named materials are proparly <br /> classified, packaged, marked and labeled, an4 arc in proper condition <br /> for tram '. tation according to the applieabie regulations of the <br /> Departmaent of Tra aspprtetion (ij) no material change has netnrred <br /> either in the eharacteristir$ of the wasta/material or in the process <br /> 9pmaetting lake wsste/material, and (iii) the above referenced <br /> GeOefhtOf 5MUS i3 M:Orract. Customer agrees to pay the &hove KhAhges <br /> and to he bound by the terms And conditions (i) set forth in (a) the <br /> General Terms and Conditions PF004e4 feparately to Customer or (h) <br /> any SK agreement signed by Cuftmncr and SK, and a) incorporated <br /> heroin by reference. Unless otherwise indicated in the Payment <br /> received seetian. SK it autbPriapd to charge Castoner's account for <br /> this transaction. If Customer fails to maka payment when due, an <br /> anount equal to the lesser of (i) 1.5K per manth aft par annual or <br /> (ii) the maximoro amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Custwmp certifies that, the individual signing <br /> this Service Acknowledgement is duly authori2ed ru sign and bind <br /> Custpmpr• Custommr acknowledges that it is responsible for maintaining <br /> its Genefatnr Stoxus and abtainin9 an EPA SD number if required by <br /> applicable law. the following provision is applicable to <br /> Saf}eetty-Kleen's parts elepaer and paint gun cleaner san ices:.._.Customer <br /> _,_�� +rr. 4*"i'll not 4ataoalnro A-W auhtt,.- int- Ith- solvent or <br />