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2600 N Central Expy, �Iu '« <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (,Safety-Kleen) <br /> 2095451011 REFERENCE NBR. <br /> 80852481 <br /> CUSTOMER# CE25989 Cecil Rogers Farm SRVC WEEK: 2019-33 <br /> 7569 S Roberts Rd <br /> Stockton CA 95206-0000 SRVC DATE: 08/13/19 <br /> PHONE 209-401-3914 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> CE25989 Cecil Rogers Farm <br /> 7569 S Roberts Rd <br /> Stockton CA 95206-0000 <br /> PURCHASE ORDER# wPHONE 209-401-3914ade mcgraw TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 10256 FEE, OIL SERVICE/STOP NON 1.000 150.0000 0.00 150.00 <br /> SERVICE TERM 8 WEEK <br /> 66636 USED OIL RECYCLE AUTOMOTI 355.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> 11AL01GE'N / CLOP 1) !t_;:f ItST RESULT PASS- PPM : 1000 <br /> ------------ ------------------ <br /> TOTAL SEflV.1 C'F;PFcOD�-dC'TS - - -- - 150.0000 0.00 150.00 <br /> TOTAL CHARGE 150 .00 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 150.00 <br /> UNPAID BALANCE THIS RECEIPT 150.00 <br /> If high risk source, rep. certifies that load specific PCB & Silicon <br /> testing have been completed prior to pumping this load. <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 a reel to - pay the move_ charges <br /> and t0 he hotind by t '- * Vit. a 0- the <br /> General Ter ;s and Cuotdi i �:�,� _ ��' 'pIrP!` ll _ Cw;-r FM—,- r pr. Cb) <br /> any SK agreement signed by C° <br /> herein by refererriice. Unlessjk) 2.}t' uta,yinenr <br /> received Section, SK ,is authorized ro 0o—ir eoc t :. .c, r;1;�rt' >� a(,coirrit t0f, <br /> -014-i t'ransaction'. If 11--utomer fails to m4)(!'r vi<icn due:, at? <br />