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CSG SK-SSL-BOX-24 Shane Allen 01/15/19 09:29 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. 78827407-1806527770 <br /> 3820 Rhonda Way SRVC WEEK: 2019-3 <br /> Tracy CA 95304-1608 SRVC DATE: 01/15/19 <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# 19130 TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 3383 DRUM,55 GAL FOR O.F. 1.000 12.1400 0.00 12.14 <br /> SERVICE TERM 8 WEEK <br /> 83383 DRUM,55 WASTE O.F. 1.000 62.6800 0.00 62.68 <br /> SERVICE TERM 8 WEEK <br /> 1506536/ <br /> 875460 CNO-NON HAZARDOUS SOLID 5 1.000 292.9600 0.00 292.96 <br /> SERVICE TERM 24 WEEK <br /> # CONTS: 1 TSDF: SJ MANIFEST#: 006776783SKS FORM CD: US SHIP# 227442600 <br /> CNT#: 190111959165 QTY: 300 WT/VOL P PROF# 1506536 SKDOT 8005834 <br /> 1594079/ <br /> 875000 FB1-LQD FOR FUEL 55GL 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 898560 CARTRIDGE OIL FILTERS 55G 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 8 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 905837 MODEL 90.5 W/2387 6365 10 1.000 140.0300 11.55 151.58 <br /> SIN 15918599 TAG 00002697SK15918599 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 8 WEEK SCANNED YES <br /> 100030 RECOVERY FEE 1.000 43.1600 3.56 46.72 <br /> 100065 E-Manifest Fee 1.000 10.0000 0.00 10.00 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 560.9700 15.11 576.08 <br /> TOTAL CHARGE 576.08 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 576.08 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 576.08 <br /> Machine clean and good condition? Yes <br /> Lamp Assembly Condition Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Local Phone No. Sticker Affixed to Machine Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br />