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p <br /> 54OD <br /> Legacy Drive,Cluster S,63 800.669-5740 ,�. DUNS NO.Os347.6551 FED.ID ND.75.2176928 ELGIN OFFICE <br /> Plano,Texas 75024 wvwY,salely-kleen.com j' FOR SERVICE CALL BRANCH MANAGER DOC.EXP. sCHEaAEo sc�oLtED <br /> CUSTOMER NO. SERVICEwEEK I TEFiRrIam <br /> 8NtTiq•NIBBiL <br /> PH TRRES 04 O O8 08-06 70 0035931853 <br /> CREDIT PREVIOUS BALANCE SAL OVER 60 DAYS <br /> U Cgm <br /> In StTOGKTON UNIFIED- SCHOOL D1 ,_0000-45.30,-31 • 862. 28 <br /> _... _. _ -- •- - ---- • - STOCKTON UNIFIED'SCH0OC'-D•I- - -�- M. BUSINESS CHIN CoUtm Svc.pm PROD.PIC- <br /> M ATTN DON ATTN ACCTS PA-X 0 NO13,11413414 <br /> E • 1932 N EL PI-NAL • 701 N. -MADISON ST: LOCATION TAX EXEMPTION NUMBER <br /> m' � n r. I ; 718501 <br /> SERVICE DATE SALES REP NO. CUSTOMER P.O.NUMBER CUSTOMFR PHONE# TAX CODE NA"DUNo ASSOC. <br /> Cooe CODE SERVECETAX I C.O.M.S.TAX I PRODUCT TAX <br /> na-a - 33 05-1c)5-8487 IOR 1 1 . 08 <br /> DEPT SERVICE) SALES TOTAL CHLORINE TEST RESULTS 3K o0T sEAVK E CKMOE ch'" PROMO <br /> PRODUCT UNIT PRICE QUANTITY EHARGE TAX CHA GE ".100011fsm CRIAa•D•TECT NUMBER CC TERLC SEAVICETERM LU.p,L No. RELEASE NO. <br /> (: PA6a FML a.SQAS,•PIWS PhTIXS1aNRIRLI N <br /> It nr ® �- e. ❑' 3237 6 <br /> n n G C_ ❑ b 3 2 7 6 <br /> 4 S 00 . O 15 ❑ 0 <br /> J <br /> ,7 ❑ p <br /> DI D ❑ <br /> s pI❑ <br /> ANK ••- - DATE / /O E <br /> TOTAL SERVICE/PRODUCTS '� 3 ; CAPACITY <br /> •• • • =• • MANIFEST NO. USEPA TRANSPORTER ID NO. ` Q x A <br /> TXR00005093.0 PRINT E SIGNATURE r4k -x <br /> GENERATOR: VEHICLE OTHER 1 NO PREOUAL REOLORED,N HALOGEN TEST o <br /> f HAZARDOUSWASTE FLUIDS NON-VEHICLE 2NOPREDUALREOUIRED.KkOGENTESTATPICIWP DATE / / 2 <br /> CLASSIFICATION' ONLY FLUIDS S PREOUALRECURED,NO EN TEST GENERATOR USEPA ID NO. GENERATOR STATE ID NO. ` <br /> CESOG ❑'I 113 4 PRTAUAL PEOURED,HATEST AT PK:I4UP 1 X �• <br /> SOC-=G 02 ❑4 •REFERTOREVEASSSME ORDERNmONS CAD98116397 PAINT NAME SIO RE ' <br /> 11.US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME,H RD CLASS,AND ID.) 'NIDD WPEs Iz TOTAL 14-�` SK DDT NUL1aEA � <br /> NON-RCRA HAZARDOUS WASTE, LIQUID ! T /+� G 3287 Liw <br /> A nT C 4V /.ypiieceye.•`• �� <br /> j >(f <br /> j w la <br /> B. ` 1, s 1 iA� <br /> D. TU Q <br /> INTERMEDIATEFACILITYNAME AND ADDRESS EVERGREEN OIL, INC. USA EPA ID NO. Itis <br /> 6880 SMITH AVE, NEWARK CA 94560 STATE ID NO. ®LU <br /> CASH ❑ TOTALRECEWED APPLY PAYM EW TO: _ CHARGE MY ACCOUNT FOR THIS TRANSACTION UNLESS OTHERWGE TOTAL DUE <br /> CHECK NUMBER p mmrs SERVI&SALE INDICATED IN THE PAYMENT RECEIVED SECTIO!. <br /> Cuamme adm•aa M abe,en W-OMS we PMP"CIUW*d•ftl b0.P3depe4 m Ood DO NOT WRITE IN THE AREA BELOW <br /> •• p PREVIOUS 8AIA E IS FOLLOWS •.a bbibd,.d M M props meaem%,he paeeSee==I-vv m ae IPO=b%,cadet..du,e <br /> ' I INVOICES AMOUNTS INVOK:Ep 1 kMOUNTS us.rnwa.,e+uaAmllowmapmcY.iem.us0eouwemmrmapon+Iw. ... <br /> ADDITIONAL TERNS AND CONDITIONS ON THE REVERSE SIDE OF THIS 00 3 5 9 318 5 31 <br /> PREVIOUS MANIFEST CODE SEO III DOCUMENT ARE INCORPORATED HEREWITH MADE A PART HEREOF. <br /> CREDIT .� Ptirn I i' vrsT I• <br /> RD O EDIT CARD NO. AMEX. EXP.t'7A 1D 1 D Name— �" 00 Q OI 3 710 4 r 1 —3 i <br /> VISA •MQ v <br /> iI t <br /> CUSTOMER RE IENCE -'OE o APER OESILiNAI FAaESENTATVE susruTURE-•- - a� 11.1 ',,. ;y•'�.;I. , <br /> 'I <br /> INFORMATION. SEE REVERSE SIDE FOR IMPORTANT INFORMATION <br />