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,SG•SK-SSI.-IJM0-01 Joseph R Lima Jr 08/07/19 10:23 PAGE 1 <br /> Safety-Kleen Systems, Inc . <br /> 2600 N Central Ezpy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-668-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR, <br /> CUSTOMERS SA32630 San 3oaquin Co Maintenance 80584699-1903714284 <br /> 1810 E Hazelton Ave SRVC WEEK: 2019-32 <br /> Stockton CA 95205-6232 SRVC DATE: 08/07/19 <br /> PHONE 209-468-3099 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> SA32680 San 7oaquin Co Maintenance <br /> 1810 E Hazelton Ave <br /> Stockton CA 95205-6232 <br /> PHONE 209-468-3999 <br /> PURCHASE ORDER# 251774 TAX EXEMPT# <br /> PRODUCT/SERVICES - <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 66636 USED OIL RECYCLE AUTDMQTI 150.000 0.0000 0.00 0.00 <br /> SERVICE TERM 10 WEEK <br /> HALOGEN / CLOR-D-TELT TEST RESULT PASS: PPM - 1000 <br /> 10256 FEE, OIL SERVICEISTOP NON 1.000 182.5000 0.00 182.50 <br /> SERVICE TERM 8 WEEK <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 182.5000 0.00 182.50 <br /> TOTAL CHARGE 182.50 <br /> CREDITS 0.00 <br /> --------------- - <br /> TOTAL DUE 182.50 <br /> UNPAID BALANCE THIS RECEIPT 182.50 <br /> If high risk source, rep. certifies that load specific PCB &Silicon <br /> testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer certifies that (i) the above-named materials are properly <br /> _lassified, packaged, marked and labeled, and are in proper condition <br /> 1 <br /> .• transportation according to the applicable regulations of the <br /> a.yr_t pnnt, of Z�n_cnnr*ztznn.(1�\ nn ours«�.l 'Manna.Man A <br />