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CSG SK-SSL-BOX-25 Bruce Maeberry 06/11/20 14:47 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 42 Longwater Drive <br /> Norwell, MA 02061 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# DI17212 Diamond Pet Foods 83282033-2002622488 <br /> 250 Roth Rd SRVC WEEK: 2020-24 <br /> Attn Greg Sherman SRVC DATE: 06/11/20 <br /> Lathrop CA 95330-9724 <br /> PHONE 209-983-4900 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> DI17212 Diamond Pet Foods <br /> 250 Roth Rd <br /> Attn Greg Sherman <br /> Lathrop CA 95330-9724 <br /> PHONE 209-983-4900 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 90837 MODEL 90 W/2387 6 6365 1.000 520.9200 45.58 566.50 <br /> SIN 11014389 TAG 00001170SK11014389 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 100030 RECOVERY FEE 1.000 26.0500 2.28 28.33 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 546.9700 47.86 594.83 <br /> TOTAL CHARGE 594.83 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 594.83 <br /> UNPAID BALANCE THIS RECEIPT 594.83 <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 /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions provided separately to Customer or (b) <br /> any SK agreement signed by Customer and SK, and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SK is authorized to charge Customer's account for <br /> this transaction. If Customer fails to make payment when due, an <br /> amount equal to the lesser of (i) 1.5% per month (18% per annum) or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Customer certifies that the individual signing <br />