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06 / 11 / 2021 3 : 04 PH FAX 2099488625 AHCE SAW 0004 / 0010
<br /> w - -ti• '-^ ^ " CSG SK.SSL "
<br /> - - _ - "y f ' r. . •n 60X,23 .:R454nand Gamez 02/08/10 L4sl'S Pb
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<br /> Safe •tyAleen Systems , Ir� c .
<br /> 6K-SSL ,ROX- 23 Raymond Gomex 03/11/19 15 : 55 PAGE 1 7606 N Centrhl EKpy, Suite 200
<br /> 01 Richardseni• TX 75080
<br /> CORPORATE : $90 -669.5740
<br /> C �T24 HR l01ERC,ENCYe • 800 ,468-1760 ' 15afgty •Nipen)
<br /> Safety -- Kleen Systems , Tnc . 2095451011
<br /> 2600 N Central Expy, suite ZOO CUS70MER# AC15642 At'em Saw „ Sul,ply REFERENCE NE
<br /> Richardson , 1X 75080 1.204 E Hain st 7899995.1 ;1900222!
<br /> CQRPOPQRATE : 868.669-5740 5tucktan CA 915265-552.1 5HVC WEEK : 2015
<br /> 24 HR Ed1RzRGENCY; 6Qp^468-1760 45aftty-Klgen) pHDMR 209, 998 tli3S� SRVC DATE : O2/%
<br /> 2095451011 BILL TO RUS76MERN OX1.1_ 10 AWRFSt : •
<br /> REFERENCE NBP . ; AC16091
<br /> ;TOMER$ 1655642 Acme Saw Aorta Env: Industrial Supply
<br /> ^ SupP1y 79496680 13.04 6 Main St I r
<br /> 1204 E Mainrst WEEK: x019-11 Stockton CA 95205 -SS14
<br /> SRVC
<br /> Stockton CA 952OS ,5514 SRVC DATE : 03/11/19 li 1
<br /> PHONE 209 ,946 .6735 PURCHASE ORDERS PHONE 209-998-6735
<br /> It.16 91 CUSTDMERi HILLAcme TO AAndust P RODUCT/SERVICES TAX PiPTi
<br /> 18091 Asnig Saw industrial SnPPTY 1
<br /> SZ09 E Main St ; $ERVYCE/
<br /> Stockton CA 9S205-5514 PRODUCT QTY UNIT PRICE Ta7A
<br /> ; , 064 1 ?7 . 8600
<br /> PHONE 200 -998 -fi735 90837 MODES, 90 W/2387 & 0365 T 14 10318
<br /> ICHASE ORDERS TAX EXEMPTS yr S/N 16029471 TAG 0000149000
<br /> CLEAN 2 . 54 SPENT 0 , 001
<br /> y SERVICE TERM 4 WEEK SCANNED ND
<br /> PRODUCT/SERVICES gOt030 RECOVERY FEE''
<br /> i6RylCE/ " " 24 , 5000
<br /> l . 6DD
<br /> iROgUtT
<br /> TOTAL Y, r ,•� - - 1 . 31 15 . 8
<br /> RN UNlP PRICE TAX CHARGE TOTAL SERVICE/ a UCT5 - , - 192 . 3600 -17 . #2 � 209 r,
<br /> 9#7 MODEL 90 W/Z#6T d 6365 1 . 000 2,7? , 8600 16001 19# , 87 '
<br /> S/N 16029471 TAG 0000117QSK16029471 WAN 2x50 SPENT 0 �
<br /> SERVICE TERM 4 WEEK SCANNED NO TOTAL + ; ' ;, 209 , 68
<br /> 9030 RECOVERY FEC 1 . 000 143000 1 . 31 15 , $1 CRSO7. I • 0 QO
<br /> TOTAL SERVICE/MDUCTS 19243660 17 , 3 ; 209 . 68 1 d TOT ' k09- 68
<br /> TOTAL CHARGE 209. 68 UNPAXP RA1.ANC6 THYS RECEIPT
<br /> CREDITS 0 , 00 2O0 . 8s
<br /> IDTAi, AUR Mbc6ing clean
<br /> - , , 1 " aam ., j arid good cm' ' = i ion? Yes
<br /> ion
<br /> UNPAID BALANCE THIS RECEIPT 209. 68 {l De�lsxin placeoAnd tiv0 ! , Ir,3 Yes
<br /> Fu6ible •'19nk installed? Yes
<br /> Fmergancy closing of lid upobsrructed7 Yqf
<br /> Machine properly groundad7 Yes
<br /> ,,..aa��••�� Local Phone Na , Sticker Affixed to Machina Yax,
<br /> Spent solvent meaty AccePtahce Criteria? Vex
<br /> " GENARA70R STATUS
<br /> _ • ^
<br /> 0 .220 lbs/month
<br /> I
<br /> i Customar certirics that (i) the shove-mm) ed materials are
<br /> PAGE 1 1 classified , pgekiged , mark•aQ , and labeled, an P P praperiy
<br /> 05/04/19 13 : 55 i far transportation according to the spplicable regulation, of the ion
<br /> Raymond Gomtz ; Department of Transportation (ii) no nuiterial chan0e ' has occurred
<br /> ,^SOX-23 gl [hgP in the char,acterisTics Of the Wd$te/m3teri :.T ,,, r in the
<br /> systems ,
<br /> Process
<br /> SafetyAl een - -...
<br /> 2600 N GpniraT RxPY, suite zoo
<br /> Richardson , TX 75480
<br /> CORPORATEI . BOD-660-5740
<br /> 24 HR EMERGENCY : 900. 463-1760 (SafetY'Kleen) REVERENCE NBP .
<br /> 7095451011
<br /> 80037333 -19025OZ651 C5G SK-SSI,-BOX,Z3 Raymond Gomez 03/19/19 14 : 13 PAGE
<br /> p ACIS642 Acme W . S"Ply SRVC WEEK : 4019-23
<br /> 1204 E Maya St SWC DATE; 06/04/19 V
<br /> Stockton PA 9911
<br /> HONEzo9- 94846735 Safety4leen Systems , Inc ,
<br /> CUSTOMEAN RILL TO ADDRFss : 4600 N Central Rxpy, Suite 200
<br /> Acme SRW Industrial S0pP1Y' Richardson, TX 75080
<br /> 1204 .E Main St (• 6 CORPORATE: 864-649 -5740
<br /> Stockton PCA9520s, 55146737 24 RR HMERGENCY: 800 .468-1760 (SafatY- Klecn)
<br /> SAX 1!)M 'Tf 2095451011
<br /> of OROERn CU$70ttERC 1615602 Acme SaW , supplyREFERENCE NSR
<br /> pnnDUCT/j/5ERVICE
<br /> TOTAL 1204 E Maln St 7956046
<br /> IGC/ PRICE TAX GHARGt Stockton CA 95205-Ss14 SRVC WEEK : 2019 -1
<br /> OCT Q PHONE 200-948-6735 SRVC UATN: 03/15/1
<br /> /// 1 . 0 0 177 .8866 16 . 01 3 • E7 f HXLL TO CUSTOMSRSt BILL TO ADONE55 :
<br /> MODEL 90 :WJ23$7 8 6365 1 1616091
<br /> S/N 160x9471 TO 00001170 16OZO47 CLEAN 2 . 50 'SPE74Y 0 . 060 16 , 90 Acme haw Industrial Supply
<br /> SMUCE TERM 4 YtfiEK 1 00 15 . 5060 1 . 40 _ 1x34 E Main St
<br /> D REC6V6RY FEE - - - - " _ _ . .-- " - - • " - i Stockton CA 95205 -5519
<br /> - 19# . 3600 17 . 41 ^ 21p . TT• PURCHASE ORDERS+ PROW 209 - 945-6735
<br /> TOTAL SERVXCE/QRODUCI5 /� Eryl �r � / TAX RXEMPT#
<br /> 'MffAL CH�IRGE 710 , 77 PRODUCT/SERVICES
<br /> Ca MIS 0 . 00 SERVICE
<br /> 710 . 17 PRODUCT F TOTAL
<br /> TDTA4 DUR QTY UNkT PRICK TAX CHARGK
<br /> 90817 MODEL 90 W/;387 & 8965 1 . 000 0. 0000 0400 0 , 00
<br /> S/N 16029471 TAG 0001170SK16029471 CLEAN 24So SPENT 0 . 400
<br /> UNPAID BALANCE 11116- REC117T
<br /> 210 . 7? No
<br /> EAUSECCOUE VaidueaderAndLinN�ERVICR N6l' NEEDED
<br /> y TOTAL SEAVICE/PRODUCTS 0 . 6000 0 . 00 " 0 . 00
<br /> Nine clean and �good ncondition7 Yes ( i ' TOTAL CHARGE 0 . 00
<br /> Yet
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