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CSG SK-SSL-BOX-24 Wilmer Garcia Garcia 01/31/18 10:22 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# DD02783 D & D Lift Inc. 75994295-1800508521 <br /> 3820 Rhonda Way SRVC WEEK: 2018-6 <br /> Tracy CA 95304-1608 SRVC DATE: 01/31/18 <br /> PHONE 209-229-7440 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> DD02783 D & D Lift Inc. <br /> 3820 Rhonda Way <br /> Tracy CA 95304-1608 <br /> PHONE 209-229-7440 <br /> PURCHASE ORDER# 15438 TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 1594079/ <br /> 875000 FB1-LQD FOR FUEL 55GL 2.000 205.0000 0.00 410.00 <br /> SERVICE TERM 12 WEEK <br /> # CONTS: 2 TSDF: KP MANIFEST#: 006461668SKS FORM CD: US SHIP# 224606748 <br /> CNT#: 180129337604 QTY: 500 WT/VOL P PROF# 1594079 SKDOT 8169749 <br /> CNT#: 180129337605 QTY: 150 WT/VOL P PROF# 1594079 SKDOT 8169749 <br /> 898560 CARTRIDGE OIL FILTERS 55G 1.000 159.7500 0.00 159.75 <br /> SERVICE TERM 12 WEEK <br /> # CONTS: 1 TSDF: WI MANIFEST#: 006461669SKS FORM CD: US SHIP# 224606767 <br /> CNT#: 180129337646 QTY: 200 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 8.000 76.0000 50.16 658.16 <br /> SERVICE TERM 12 WEEK <br /> 3383 DRUM,55 GAL FOR O.F. 9.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 83383 DRUM,55 WASTE O.F. 2.000 55.0000 0.00 110.00 <br /> SERVICE TERM 12 WEEK <br /> 898560 CARTRIDGE OIL FILTERS 55G 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 1506536/ <br /> 875460 CNO-NON HAZARDOUS SOLID 5 4.000 262.0000 0.00 1048.00 <br /> SERVICE TERM 12 WEEK <br /> # CONTS: 4 TSDF: SJ MANIFEST#: 006461667SKS FORM CD: US SHIP# 224606726 <br /> CNT#: 180129337533 QTY: 400 WT/VOL P PROF# 1506536 SKDOT 8005834 <br /> CNT#: 180129337527 QTY: 400 WT/VOL P PROF# 1506536 SKDOT 8005834 <br /> CNT#: 180129337528 QTY: 400 WT/VOL P PROF# 1506536 SKDOT 8005834 <br /> CNT#: 180129337529 QTY: 400 WT/VOL P PROF# 1506536 SKDOT 8005834 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 9.000 0.0000 0.00 0.00 <br /> 100001 FEE, FUEL SURCHARGE 1.000 12.1500 1.00 13.15 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 769.9000 51.16 2399.06 <br /> TOTAL CHARGE 2399.06 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 2399.06 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 2399.06 <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br />