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iG SK-SSL-UNO-01 Lima Jr , Joseph R 08-31-2020 09 : 12 PAGE 1 <br /> Ssfetrl( leen Systers , Inc . <br /> 42 Longwaler Drive <br /> Norwell , MA 02061 <br /> CORPORATE : 800-669-5740 <br /> 24 HR EMERGENCY : 800-468- 1760 ( Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NDN . <br /> IISTOMERN L025322 Lovelace Transfer Station 84082529 - 2004339035 <br /> 2323 East Lovelace Rd SRUC WEEK : 2020-36 <br /> Manteca CA 95336-0000 SRVC DATE : 08-31-2020 <br /> PHONE 209-982-5770 DUPLICATE TICKET <br /> TILL TO CUSTOMERN DILL TO ADDRESS : <br /> iA32681 County of San Joaquin DPW/ Solid Waste SJC LOVELACE MRF / IRANSPEFt 51AT <br /> 1810 F Hazelton Ave 232:3 E . LOVELACE RD . <br /> Stockton CA 95205- 6232MANTECA , Ch . ( 209) 982--5770 <br /> PHONE 909- 947-9363 <br /> 'URCHASE ORDER# 59110 TAX EXEMPT# MON-FRI 7 - 4 SAT- SUN 7-4 <br /> PROUTISERVICES `118d : JOSE <br /> 111VICES/ PRODUCT UWeiTV UNIT PRICE TAX IOTALCHARGE a <br /> 10256 FEE , OIL LO 120 . 00 0 . 00 120 . 0 Deposit : LIDIA <br /> SERVICE/ STOP BILL TO : (� <br /> NON-PREQUAL CRANKC <br /> SERVICE TERM 8 WEEK <br /> 66636 USED OIL RECYCLE 355 . 0 0 . 35 0 . 00 124 . 25 <br /> AUTOMOTIVE OIL <br /> SERVICE TERN 4 WEEK <br /> HALOGEN/ CLOR-D-TECT TEST : PASS : PPM < 1000 Vellll: lP, ID % ;1F02816 -0 <br /> 66665 ANTIFREEZE 250 . 0 0 . 90 0 . 00 225 . 0 Reference : <br /> (NON-PREQUAL) <br /> HALOGEN/ CLOR-•D-TELT TEST : PASS : PPM < 1000 COMPANY : SAFETY KLEEN GIL <br /> PHONE : FC 110 GAL <br /> TOTAL SERVICE/ PRODUCTS 121 . 25 0 . 00 469 . 25 Origin : SALVAGE <br /> TOTAL CHARGE 469 . 25 DATE IN : 08 / 31 / 2020 TIME IN : 08 : 34 : 25 <br /> CREDITS 0 . 00 DATE OUT : 08/31 /2020 TIME OUT : 09 : 12 : 40 <br /> TOTAL DUE 469 . 25 - 51 -0118!33X! <br /> - - - - -- -- - -- - - - - - - _ - - - - - -- - - - --- OUTBOUND TICKET NumUer : <br /> UNPAID BALANCE THIS RECEIPT 469 . 25 SCALE 3 GROSS W1 . :31400 LB <br /> SCAt-E 2 TARE Wl . 27340 LB <br /> If high risk source , rep . certifies that load specific PCB 8 Silicon NET WEIGHT 4060 LB <br /> testing have been completed prior to pumping this load . <br /> GENERATOR STATUS CESQG : Vehicle f + REPRINTED BY + < <br /> Customer certifies that ( i ) the I have established a program to reduce the volume JOSE at 09 : 13 : 29 <br /> above-named materials are properly or quantity and toxicity of the hazardous waste Amount <br /> classified , packaged , marked and to the degree to he economically practicable . labeled , Oty DeScription <br /> and are in proper condition for transportation according to the applicable regulations of 2 , 03 OIL SALVAGE 0 . 00 <br /> the Department of Transportation ( ii ) no material change has occurred either in the <br /> characteristics of the wastelmaterial or in the process generating the waste/ material , and 0 . 00 <br /> ( iii ) the above referenced Generator Status is correct . Customer agrees to pay the above TII:KET AMOUNT <br /> charges and to be bound by the terms and conditions ( 1 ) set forth in ( a) the General Terms <br /> and Conditions provided separately to Customer or ( b) any SK agreement signed by Customer <br /> and SK , and ( 2 ) incorporated herein by reference . Unless otherwise indicated in the <br /> payment received section , SK is authorized to charge Customers account for this <br /> transaction . If Customer fails to make payment when due , an amount equal to the lesser of <br /> ( 1 ) 1 . 5% per month ( 18X per annum) or ( ii ) the maximum amount allowed by law , will be <br /> added to all unpaid amounts outstanding . Customer certifies that the individual signing X <br /> CUSTOMER ! GENERATOR : Ijose calcera - - <br /> TRANSPORTER : Lima Jr , Joseph R <br /> - - - - - - - -- - - - - - - - - - - - - - - - - - <br /> G SK-SSL-UMO-O 1 Lima Jr , Joseph R 08-31-2020 09 : 12 PAGE 2 <br />