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t <br /> CSG SK-SSL-BOX-23 Raymond Gomez 11/14/18 15:19 PAGE I <br /> Safety-M een 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 N&R. <br /> CUSTOMER# CA48822 Cal-Trans Shop 10- 30110 Nc 78476 991-190579382 <br /> 1603 S B St SRVC <br /> Stockton CA 95206-2476 SRVC DATE: 11f14/18 <br /> PHONE 209-948-7813 <br /> BILL TO CUSTOMER# BILL TO AAORESS: <br /> CA48822 Cal-Trans Shop 10- 30110 Nc <br /> 1603 5 8 St <br /> Stockton CA 95206-2476 <br /> PHONE 209-948-7813 <br /> ` TAX EXEMPT# <br /> PURCHASE ORDER# <br /> PR®DUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 1745975/ <br /> 875460 CNO-NON HAZARDOUS SOLID 5 4.000 262.0000 0.00 1048,00 <br /> SERVICE TERM 12 WEEK <br /> N CONTS: 4 TSDF: S7 MANIFFST#: 006687336SKS FORM CU: US SHIP# 226982481 <br /> CNT#: 181117881594 QTY: 150 Wr/VOL P PROF# 1745975 SKUQT 8492411 <br /> CNT#: 181112881595 QTY: 150 WT/VOL P PROF# 1745975 SKDOT 8492411 <br /> CNT#: 18090759)376 QTY: 150 BT/VOL P PROF# 1745975 SKDDT 8492411 <br /> CNT#: 1BD907597378 QTY: 150 MT/VOL P PROF# 1745975 SKDOT 8492411 <br /> 870503 LBO 5GL MIXED BATT FOR RE 2.000 150.0000 0.00 300.00 <br /> # CONTS: 2 TSDF: SI MANIFEST#: 82517 FORM CD: BL SHIP# 226982517 <br /> CNT#: 181112881692 QTY: 20 WT/VOL P PROF# 158608 SKOOT 8291559 <br /> CNT#: 181112681691 QTY: 20 WT/VOL P PROF# 158608 SKDOT 8291559 <br /> 1727592/ <br /> 871663 CCS SGL CHAR SOL/SEMT STA 3.000 195.0000 0.00 S85.DO <br /> # CONTS: 3 TSDF: 51 MANIFESt#: 006637336SKS FORM CD: US SHIP# 226982481 <br /> CNT#: 181112881593 QTY: 35 BT/VOL P PROF# 1727592 SKOOT 8466365 <br /> CNT#: 181112881582 QTY! 35 WT/VOL P PROF# 1727592 SKOOT 8466365 <br /> CNT#' 181112881591 QTY: 35 WT/VDL P PROF# 1727592 SKDOT 8466365 <br /> 706 PAIL, 5.5 GL BLACK POLY W 2.000 13.0000 2.02 28,02 <br /> SERVICE TERM 24 WEEK <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 1.000 85.0000 6.59 91.59 <br /> 100001 FEE, FUEL SURCHARGE 1.000 14.1400 L.10 15.24 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 719.1400 9,71 2067.85 <br /> TOTAL CHARGE 2067.85 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 2067.85 <br /> UNPAID BALANCE THIS RECEIPT 70b7.85 <br />