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- _ ._END-ALNO►ij"_--._.. <br /> CSG SK-8 <br /> 8L—BOX-21 Valft,Leonerd <br /> 09-09-2022 08;19 PAGE 1 <br /> Safety—Kleen Systems, Inc. <br /> 42 gwatar Drive <br /> Norwell,MA 02051 <br /> CORPORATE:800—669—5740 <br /> 24 HR EMERGENCY:800-468-1760(Sdety—Kleen) <br /> 2095451011 <br /> CU$TQMER# L121971 Llnesge Logistics,LLC REFERENCE NSR, <br /> 730 Spreckels Ave 88987749—2107469028 <br /> Manteca CA 96896-6008 <br /> PHONE 209-299-2888 SRVC WEEK:2022-10 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: BgVC DATE:09-09-2022 <br /> LI21971 Lineage LOgistloa,LLC <br /> 790 Spreckels Ave <br /> Mentese CA 95396-6008 <br /> PURCHASE ORDER,# PHONE 209-289-2888 <br /> SERVICES/ PRODUCT/SERVICES TAX EXEMPT# <br /> PRODUCT <br /> 0009969 OTY UNIT PRICE TOTAL <br /> DRUM,55 GL 1,0 104.50 TAX CHARGE <br /> BLACK STEEL OH 8,62 119.12 <br /> RECON <br /> 876160/ SERVICE TERM 16 WEEK <br /> 1922675 CHO—NON <br /> HAZARDOUS SOLID 1.0 966,71 0,00 985,71 <br /> #CONT8:1 TSDF:SJ 6511E <br /> CNT#220221786704NIFE8i#;0O6814967SKS FORM CO:US <br /> 100080 R'•200 WTAfOL P gHIP#286461704 <br /> RECOVERY FEE 110 75.98PROF#1922675 SKDOT#8726529 <br /> 6,P7 82.26 <br /> --- <br /> TOTAL SERVICE/PRODUCT8 — <br /> 566,19 14.89 681.08 <br /> TOTAL CHARGE <br /> CREDITS 581.08 <br /> ----- ------------------- <br /> 0.00 <br /> --— — —— —— <br /> TOTAL DUE <br /> 681.08 <br /> UNPAID BALANCE THIS RECEIPT 501.08 -------------- ----- <br /> GENERATOR STATUS <br /> 0-2201bafmonih <br /> Cuftw lease Ihd 0 the 1 have edablldned a program to reduce the returns <br /> above—named mataids ere prOPO or gum"and Icaliq of the heradous Weds <br /> clard0ad, 8148d marked and to the degroe to be eoanadcol y prec(cable labded, <br /> end are In props condition for bmipgtagon according is the applicable regulatlona d <br /> the Department d Transpatetlon(q as m�farld change has occurred eltha In the <br /> charwmellcs of the woolmdend or in the proceen generating fhe d a then In the and <br /> ilq the above rderareed Conarmor 8te<ue Is carnet•Coons agreesto pay the above <br /> chages end to be bound by the terenc end conditions 0)ed ho in(�tlra General Terms <br /> and Conditions provided spar*to CUSS a 0)any SK anreem r,r d,,....'. . <br />