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06 / 11 / 2021 3 : 65 PM FAX 2099488625 AMCE SAW 0007 / 0016 <br /> --�- <br /> CSG SK-SSL-DOX-23 <br /> Rnymoad Gomaa 07/01/20 10 : 41 PAGO 1 <br /> :SG SK "SSL ,DOX-29 � � �� t <br /> Raymond Gomoz 06/01/20 Alm PAGE 1 I ` K7d' e' n Systems , Inc <br /> 42 Longwater Drivo <br /> Sa <br /> f t " _ � � � NOM011 , HA 02051 <br /> J yItems 11 Inc • 24 RR EMER6ENPORA p 468-17605740 <br /> 42 Longwatcr Drive CCafoty-Kleen) <br /> Norwell , MA 02061d x095451011 <br /> 24 HR EMERGEIAcyo agoO 488-17605140 CUSTOMER# ACI <br /> 5642 Acme Saw • Supply REFERENCE NBn , <br /> 2095451011 ($afety_KTge� 11 1204 E Main St 83463401 ,2002997010 <br /> r Stockton CA 95$05-S914 SRVC WEEK ; 2020-27 <br /> UsT01im AC1594a Acmx Saw - SOppIY REFERENCE NRR . PHONE 209-948-6735 SRVC OATEI 07/01/20 <br /> 1204 E Main St 83212399-2002489Y20 RILL TO CUSTOMER# BILL TO ADDRESS : <br /> Stockton CA 95205 "9514SRVC WEEK1 2020.23 AC16091 Acme Saw Industrial supply <br /> PHONE 209 -940^673$ SRVC DATE: 06/01120 1204 E Main St <br /> ILL TO CUSTOMER# BILL TO ADDRESS: Stockton CA 85205 -5534 <br /> C16091 Acme Saw industrial Supply PURCHASE ORDER# PHONE 209448 .67.3 $ <br /> 1204 E Hain 9 PRODUCT/SERV ICES TAX EXEMPTY <br /> Stockton CA 45205-$S34 J <br /> ORCHASE ORDER# PRONE 209448-6735 SLRVItc/ <br /> TAX EXEFtFls PRODUCT QTY UNIT PRICE <•TAX CHARGE TOTAL <br /> SERV[CE/ PRODUCT/SERVICES 90837 MODEL. 90 W/2387 A 6365 14000 <br /> PRODUCT SIN 16029471 TAG 00001170SKIOU29471 CLEAN 2 . 3o sp N 210 262 . 93 <br /> QTY UNIT PRICE TAX CHARGE TRR SERVICE TERM 4 WEEK SCANNED YES 00 <br /> 1837 MODEL 90 W/2387 & 6365 CHANGE TERM 8 WEEK <br /> SIN 14029471 TAG 00001170SK160294710CLEAN 92 , 500SPENT 0 flap 0 17661213 . 27 1D603b RECOVERY FEE 1 . 000 12 ,0600 1109 13 . 15 <br /> SERVICE TERM 4 WEEK SCANNED NO • - -- " • - ^- - -, ^ <br /> ' TOTAL SELtVICE/PROOUCTS • - - - , . • _ _ , " .- - _ ^ - - - - <br /> 10030 RECOVERY FEE 1 . 000 12 ,0000 3 . a8 13 . 08 $ 53 . 2800 22 , 80 276 . 08 <br /> TOTAL SERyICE/PAODUCTS 201 .Sfi0a - - -- "18 . 59 • ' -226 . 35" TOTAL CHARGE 216 . 06 <br /> CREOX75 0 . 00 <br /> TOTAL CHARGE 226 , 35 TOTAL DUE ' " " - • 27 " ^ <br /> CRE276 . 08 <br /> D TS • - -- ". . 0, 00 �a 0 , 08 <br /> TOTAL DUE 22'6 , 35 UNPAID BALANCE THIS RECEIPT v6 . o8 <br /> . ga�q�L-7R1� <br /> UNPAID BALANCE THIS RECFJPT 226 : 35 <br /> Machine clean and good condition? Yes <br /> LWV Assembly Condition Yes <br /> chine clean and good condition? Yes Decals in Placa and legible? yes <br /> yes IFusible link installed? yes <br /> cai3 in ppysceeendtleyibTe? Yes Emergency closing of lid unobstructed? yes <br /> cable link place <br /> an ' leged? Yes Machine Properly grounded? Yes <br /> i Local Phone No . Sticker Affixed to Machine VAX <br /> ergaTency closing of lid unabstrpcted? Yes Spent solvent meets accoptante criteria? Yes <br /> 6hlbe properly grounded? Yes � . <br /> cal Phone No. Sticker Affixed to Machine yes <br /> ant solvent moats acceptance criteria? Yes <br /> GENERATOR STATUS <br /> 0-2211 lbslmonch <br /> IERATuR STATUS Customer certifies that (i) the aboVa•namcd materials are <br /> 20 lb;/month classified, Draperly <br /> for transportation todthebaQpiicablend are9uiatian9rof thRtion <br /> :tomer certifies that Liz the aLove-Hamad tizateriels era Properly ' D<partmant • of Tlensportotian i <br /> ssified, peckaoed , ma (1) <br /> and 1trhe7cd , and aro in proper condition !.� either in the c"racteristics �af.the. ,wattR/m3 change has occorrea <br /> • ^ • • or <br /> seneratin0 the waste/material , and (iii) th aa64velrefern ced <br /> the process <br /> lilt <br /> � N <br /> .y, y 1� p, v v, r ++' <br /> ,_) S9 y N .Nt w 0 h er •f ,l. Yni V O' T IA <br /> T� v � nr <br /> p ig4g�}} � , $ 6i It n wo n x <br /> 71IV011 `Al p +.1 A V I* poso own <br /> mf4r Cr g IA Lq ps 4 <br /> a c v 9 N s 3 W f n 0 D X © X <br /> P41 �c � B mm <br /> r urn g. K v T fA n 6 ,+G � a ((b-- H,j rp vNi <br /> ei -Ai69 �ryN +n, #* we 'a e' m 4 011 yP) <br /> ant M m1k 43 <br /> ts <br /> yy q A M <br /> \ iF a iS " •? ,07 A 0 M 0 56 m on <br /> 2WPnp nYS �-dO7 <br /> WA rt yaawnNa x i, "� ft u< r- o n a <br /> A N 'A a, x A v` N rt •Rps F Tq a m vt <br /> 4,'r 3 'S O Z <br /> nnibN i LL `s % <br /> e <br /> ah � SL n Rr� e N N r n AZ sI v = i Sn .1 <br /> g , vi ` Q '° wa12 rAc am <br /> � _ m <br /> S� ft � $ n mwn .sQ eeM A <br /> a w <br /> W1 <br /> ani oa K Out <br /> � � Mft a 'K Hyl <br /> nn <br /> C6 &1; 4ti 01 �pW, AD %n .- W3 '.�' <br /> _ n n a s N i w '0 A i3 r vl m w N ' m A <br /> ' N •e r -t .a •p Li Lao <br /> 'n ; } F q s $e as M.rt 04 29 ly P`4aa V '4. 9 <br /> A %n in <br /> lb I on stj 4F rt <br /> ads <br /> dNot <br /> F"; "a v <br /> A N <br /> ant, O a r 9 N O N .• � N � 1 7 `S <br /> � Jwd �^ F i< .Nt : a iT► u o <br /> •h 'Y fi O yy G 9 W <br /> dee -1, c 119 m Vf W C1 <br /> m ft ;r AtT'rn 3y4 R 1A 43 4 <br /> ya ' o r . is Df <br />