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CSG SE-SSL-BOX-23 Raymond Gomez 03/19/18 14:33 PAGE L <br /> Safety-Kl een Systems , Inc . <br /> 2600 N Central E-py, Suite 200 <br /> Richardson. TX 75080 <br /> CORPORATE: 800-1569-5740 <br /> 24 HR EMERGENCY: 800-44r6-1760 (Safety-Kleen) <br /> 209545I011 <br /> REFERENCE NBR. <br /> CU5TOMFR# SA3C6SO %air loafprin Lu /6311556-1801213235 <br /> 1810 E Hazelton Ave SRVC WEEK: 2018-11 <br /> Stockton CA 9SL0)-UL32 SRVC DATE: 03/19/18 <br /> PHONE 209-468-3099 <br /> SILL TO CUSTOMER*. BILL TO ADURESS: <br /> SA326o0 San 3oaquin Co Maintenance <br /> 1810 E Haaolton Ave <br /> Stockton CA 95205-6232 <br /> PHONE 209-468-3099 <br /> FURCHASE ORDER# 251708 TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TDTAL 4 - <br /> PRODUCT QTY UNIT PRICE TAIL CHARGE <br /> 83383 DRUM,SS WASTE D.F. 1.000 111.3000 0.00 111.30 <br /> SERVICE TERM 24 WEEK <br /> 3363 DRUM,55 GAL FOR O.F. 1.000 21.2000 0.00 21.20 <br /> 5EffVICE TERM 24 WEEK <br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.000 0.0000 0.00 0.00 <br /> TOTAL SERVICEIFRODUCIS 13<.5000 0.00 132.50 <br /> LuTAL LHARGE 132.50 <br /> CREDITS 0.00 <br /> J -+ <br /> TOTAL DUE 132.50 <br /> UNPAID BALANCE THIS RECEIPT 132.50 <br /> GENERATOR STATUS <br /> 0-220 IbS/month <br /> Cusiumrr lerLirie, LIn,1 cit i6r ....... inl+ arc Lrr•ulrerTy <br /> O d"iried, FaLt'4rd• ......L..d nu,l L„L�: 1 ...r iu proper �orulil inn <br /> for trarrnpurLaLiorr a —di„y 1., Ll,r app''.•.1,a —,Oatious of the <br /> Department of Trno,pur1,L iu, Ci ii '... r 7.,7 .i.,,.,.c Il., ur.currcd <br /> either in the Jreraelrrisl i,n ut llr. i.l ur in lire prus,c» <br /> generating the e:aate/malar is 1, nA.1 (iii: 11- Aw— —ferent.j <br /> G-reratur Status i> —r—Lt, Co,tL111— ..y.., 11. pay LLa abUIC �LarUo <br /> and to br bw/rrd Ly the lernn mrd s_undil i.,., :-1) ,rL rr.rth irr (a,) the <br /> General Terms and C—diLiuns provide.! +rear nicely 1„ L'u,lmuer• Or (b) <br /> any SK aUreement signed Ly Co>Lwrier ..nd SK- .nd (:) urpurated <br /> ilerrirl by reference- Uales., othcrrsisr i.1 the LlaykVgpt <br /> received section, SK is authorized L” 0111t)r Cu,Luumr" dccuurrL for <br /> this transaction. If Customer Fails to ujFr payment wlren due, are <br /> almunt equal to the lesser of (i) 1.5% per uuuth (1896 per ennLL11) ur <br /> Cii) the ma><imwn mnount allowed L) lan. Jll Le added to all unpaid <br /> wwunt5 outitaudirrg. CaaLwucr- Certii'i— ILat t1- individual signing <br /> this Service AckuoWledgemeni is duly ..61— i—] lu ,iU11 arrJ bind <br /> Costumer. Customer• aLknvwledge> Lhat i7 i ,pun+iLlC for <br /> main is in'ing <br /> its Generator Stdtus and vLt,.in ioq i+:+In nmo— it .•equired by y , <br />