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CSG SK-SSL-BOX-23 Raymond Gomez 02/12/19 13:30 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# LE15361 Les Schwab Tire Center 673 79118606-1900476235 <br /> 1717 W Charter Way SRVC WEEK: 2019-7 <br /> Stockton CA 95206-1114 SRVC DATE: 02/12/19 <br /> PHONE 805-438-5487 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> LE15329 Les Schwab Tire Centers Hq <br /> 20900 Cooley Rd. <br /> Bend OR 97701-0000 <br /> PHONE 916-339-3766 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 3345 DRUM, 30 GL BLACK STEEL 0 3.000 <br /> SERVICE TERM 24 WEEK <br /> 1325356/ <br /> 870771 A99P-PEROXIDE FORMING FOR 1.000 <br /> SERVICE TERM 24 WEEK <br /> # CONTS: 1 TSDF: KP MANIFEST#: 006952611SKS FORM CD: US SHIP# 227664212 <br /> CNT#: 190207485859 QTY: 125 WT/VOL P PROF# 1325356 SKDOT 7879709 <br /> 90837 MODEL 90 W/2387 & 6365 1.000 <br /> SIN 15913755 TAG 00001170SK15913755 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 8 WEEK SCANNED NO <br /> 1297433/ <br /> 875461 CNO-NON HAZARDOUS SOLID 3 1.000 <br /> SERVICE TERM 24 WEEK <br /> # CONTS: 1 TSDF: GM MANIFEST#: 006952610SKS FORM CD: US SHIP# 227664202 <br /> CNT#: 190207485830 QTY: 50 WT/VOL P PROF# 1297433 SKDOT 7857862 <br /> 1353481/ <br /> 875121 LCCRQ 30GL LP AEROSOLS FO 1.000 <br /> SERVICE TERM 24 WEEK <br /> # CONTS: 1 TSDF: EL MANIFEST#: 006952608SKS FORM CD: US SHIP# 227664220 <br /> CNT#: 190207485882 QTY: 50 WT/VOL P PROF# 1353481 SKDOT 7900794 <br /> 100030 RECOVERY FEE 1.000 <br /> 100065 E-Manifest Fee 4.000 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS <br /> TOTAL CHARGE <br /> CREDITS <br /> --------------- <br /> TOTAL DUE <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT <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 />