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CSG SK-SSL-BOX-23 Raymond Gomez 06/01/18 14:01 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# IT10046 ITS Technologies 76827493-1802309774 <br /> 6540 Austin Rd SRVC WEEK: 2018-22 <br /> Stockton CA 95215-9662 SRVC DATE: 06/01/18 <br /> PHONE 209-450-9035 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> IN30053 In-Terminal Svc <br /> 6540 Austin Rd <br /> Stockton CA 95215-9662 <br /> PHONE 999-999-9999 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 7225 SORBENT PADS NP 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 3383 DRUM,55 GAL FOR O.F. 1.000 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. 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 90837 MODEL 90 W/2387 & 6365 1.000 324.3700 25.14 349.51 <br /> SIN 14129967 TAG 00001170SK14129967 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 960439/ <br /> 875120 LCCRQ 55GL LP AEROSOLS FO 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 960444/ <br /> 875460 CNO-NON HAZARDOUS SOLID 5 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 100001 FEE, FUEL SURCHARGE 1.000 12.8100 0.99 13.80 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 337.1800 26.13 363.31 <br /> TOTAL CHARGE 363.31 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 363.31 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 363.31 <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 /> Customer certifies that (i) the above-named materials are properly <br />