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CSG SK-SSL-UMU-03 Brian Mcdonald 10/11/19 11:33 PAGE 1 <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 /> RFFERENCE NOR, <br /> CUSTOMER# SA32680 San Joaquin Co Maintenance 81341422-1905397248 <br /> 1810 E Hazelton Ave SRVC WEEK: 2019-41 <br /> Stockton CA 95205-6232 SRVC DATE: 10/11/19 <br /> PHONE 209-465-3099 <br /> "ILL TO CUSTOMERN BILL TO ADDRESS: <br /> IA32680 San loaquin Co Maintenance <br /> 1810 E Hazelton Ave <br /> Stockton CA 95205-6232 <br /> PHONE 209-468-3099 <br /> PURCHASE ORDER$ 251,327 TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TDTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 66636 USED OIL RECYCLE AUTOMOTI 266.000 0.0000 0.00 0.00 <br /> SERVICE TERM 8 WEEK <br /> HALOGEN /CLOR-O-TECT TEST RESULT PASS: PPM < 1000 <br /> 10256 Pet, OIL SERVICE/STOP NON 1.000 182.5000 0.00 182.50 <br /> SERVICE TERM 8 WEEK <br /> ----------------------------------------- <br /> TOTAL <br /> --------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 182.5000 0.00 182.50 <br /> TOTAL CHARGE 182.50 <br /> CREOI75 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 a Silicon <br /> testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer certifies that (i) the above-naned nzaterial> are properly <br /> classified, packaged, marked and labeled, and are in proper conditiun <br /> for tran.portation according to the applicable regulations of the <br /> Oepartmtnt of Transportatiun (ii) no waterial change has occurred <br /> tither i, the characteristics of the waste/mateei.l ur in Lhe pruCes. <br /> generaLing tine waste/inaterial, and (iii) the above rt fc r•tr,r.ed <br /> Generator Status is correct. Customer agr.ts Lo I—; : .•t_ Ve <br /> anal Vo be ?. <br /> bou�rd b; <br /> .!;r t�ru�i and conditions (1] set forth in CaJ Lke <br />