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CSG SK-SSL-VAC-42 Johnny Owens 10/30/18 13:46 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# HE28099 Heartland Express of Iowa Inc 78355180-1805542863 <br /> 12550 Harlan Rd SRVC WEEK: 2018-44 <br /> Lathrop CA 95330-0000 SRVC DATE: 10/30/18 <br /> PHONE 800-426-6010 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> HE28099 Heartland Express of Iowa Inc <br /> 12550 Harlan Rd <br /> Lathrop CA 95330-0000 <br /> PHONE 800-426-6010 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 66667 VACUUM LIQUID (NON-PQUAL) 370.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 8 <br /> 66677 VACUUM SOLID (NON-PQUAL) 579.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 8 <br /> # CONTS: 1 TSDF: EVG MANIFEST#: 55180 FORM CD: BL SHIP# 226873952 <br /> CNT#: 181030644698 QTY: 949 WT/VOL G PROF# 156097 SKDOT 3299 <br /> 10967 VAC SERVICE FEE AUTOMOTIV 1.000 1824.0000 0.00 1824.00 <br /> SERVICE TERM 24 WEEK <br /> 821 DEGREASER, HEAVY DUTY 5 G 8.000 51.0000 35.70 443.70 <br /> SERVICE TERM 24 WEEK <br /> 100030 RECOVERY FEE 1.000 81.0000 7.09 88.09 <br /> 100065 E-Manifest Fee 1.000 10.0000 0.00 10.00 <br /> 10901 VAC SVS SERVICE FEE 1 10.000 87.0000 0.00 870.00 <br /> 10911 VAC TRENCHING/FT 100.000 8.0700 0.00 807.00 <br /> 10913 VAC TRUCK WASH 1.000 300.0000 0.00 300.00 <br /> 10914 VACUUM ADDITIONAL HELPER 1.000 59.0000 0.00 59.00 <br /> 10924 FEE, VAC KLEEN DRAIN SRV 4.000 140.0000 0.00 560.00 <br /> 82118 HALOGENS TEST 1.000 120.0000 0.00 120.00 <br /> 10977 FEE, VAC 70% SOLIDS 949.000 2.4200 0.00 2296.58 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 2682.4900 42.79 7378.37 <br /> TOTAL CHARGE 7378.37 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 7378.37 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 7378.37 <br /> Per BOG M420-001 the halogen detecting instrument has been <br /> zeroed and validated. <br /> GENERATOR STATUS <br />