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CSG SK—BWP—UMO-03 Pacheco,Franc1300 02-25-2022 07:54 PAGE 1 <br /> Safety—Meen Systems, Inc. <br /> 42 Longwater Drive <br /> ' -D Norwell,MA 02061 <br /> CORPORATE:800-669-5740 <br /> 24 HR EMERGENCY:800-468-1760(Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# L121971 Lineage Logistics,LLC 88387743-2107463000 <br /> 730 Spreckels Ave <br /> Manteca CA 95336-6008 SRVC WEEK:2022-8 <br /> PHONE 209-239-2888 SRVC DATE:02-25-2022 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> LI21971 Lineage Logistics,LLC <br /> 730 Spreckels Ave <br /> Manteca CA 95336-6008 <br /> PHONE 209-239-2888 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES SERVICES/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 10266 FEE,OIL 1.0 25.00 0.00 25.00 <br /> SERVICEISTOP <br /> NON-PREOUAL <br /> CRANKC <br /> SERVICE TERM 48 WEEK <br /> 66636 USED OIL 40.0 1.05 0.00 42.00 <br /> RECYCLE <br /> AUTOMOTIVE OIL <br /> SERVICE TERM 48 WEEK <br /> HALOGEN/CLOR-D-TECTTEST: PASS:PPM<1000 <br /> ---------------------------------------- <br /> TOTAL SERVICEIPRODUCTS <br /> 26.05 0.00 67.00 <br /> TOTAL CHARGE 67.00 <br /> CREDITS 0.00 <br /> -------------------------- <br /> TOTAL DUE 67.00 <br /> - ------------------------- <br /> UNPAID BALANCE THIS RECEIPT 67.0 <br /> If high risk source,rep.certifles that load specific PCB&Silicon <br /> testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESOG:Vehicle <br /> Customer certifies that fl)the I have established a program to reduce tha volume <br /> above-neared materials are properly or quantity and toxicity of the haiardouswade <br /> classified,packaged,marked and tothe degreeto be economically practicable.labeled, <br /> and we in proper condition for transportation according to the applicable regulations of <br /> the Department of Transportation III)no material change has occurred either In the <br /> characteristics of the wasteimaterfal or in the process generating the wasteimatertal,and <br /> $if)the above referenced Generator Status is correct.Customer agreesto pay the above <br /> charges and to be bound by the terms and conditions n)sat forth in(al the General Terms <br /> and Conditions provided separately to Customer or b)any SK agreement signed by Customer <br /> and R)incorporated herein by reference.Unless otherwise Indicated In the <br /> payri;::7'.aelved section,SK isauthorited to charge Customers account for this <br /> .. ,.. - -�-__._ ,..a d a...— in the lamer d <br />