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CSG SK-SSL-UMO-02 Miguel Onsurez 04/27/16 07:14 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 />70185579 <br />yCity �t SRVC WEEK: 2016-18 <br />CUSTOMER# TR34054 5749 <br />STTracy Blvd <br />Tracy CA 95377-8116 . SRVC DATE: <br />04/27/16 07:14 <br />PHONE 999-999-9999 <br />BILL TO CUSTOMER# BILL TO ADDRESS: <br />TR34054 Tracy City Airport <br />5749 S Tracy Blvd <br />Tracy CA 95377-8116 <br />PHONE 999-999-9999 <br />TAX EXEMPT# <br />PURCHASE ORDER# <br />'., 11 PRODUCT/SERVICES <br />TOTAL <br />SERVICE/' <br />QTY UNIT PRICE TAX CHARGE <br />PR60UCT <br />66636 USED OIL NON-PREQUAL SERV 82.000 0.2900 <br />0.00 23.78 <br />SERVICE TERM 24 WEEK <br />HALOGEN / CLOR'D-SECT TEST RESULT PASS: PPM < 1000 <br />10256 FEE, USED OIL STOP CHARGE 1.000 145.OD00 <br />0.00 145 <br />SERVICE TERM 24 WEEK <br />• TOTAL SERVICEJPRODUCTS SERVICE/PRODUCTS 145.2900 <br />0.00 168.78 <br />TOTAL CHARGE <br />168.78 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />---- ---------- <br />168.78 <br />UNPAID BALANCE THIS RECEIPT 168.78 <br />If high risk source, rep. certifies that load specific PCB & Silicon <br />testing have been cogipleted Prior to pumping this load. <br />GENERATOR STATUS <br />CESQG: Vehicle <br />Customer certifies that (i) the above-named materials areproperly <br />classified, packaged, marked and labeled, and are in proper condition <br />fur transportation according to the applicable regulations of the <br />Denartment of Transportation (ii).uo material change has occurred <br />