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CSG SK-SSL-BOX-23 Raymond Gomez 09/04/19 08:21 PAGE 1 CSG SK-SSL-UMO-03 Brian Ftcdonald 09/04/19 09:15 PAGE 1 Safety-K1 e e n Systems, Inc. 2600 N Central Expy, Suite 200 Inc. ichardson, TX 75080 Safety-K l e e n Systems, nc. CORPORATE: 800-669-5740 I have eat' 2600 N Central Expy, Suite 200 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) toxicity o Richardson. TX 75080 2095451011 REFERENCE NBR. practicabl CORPORATE: 800-669-5740 Morada Farms 81037165-1904712387 CUSTOFIER# Ft032001 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 500 N lack Tone Rd SRVC WEEK: 2019-36 2095451011 REFERENCE NOR. Stockton CA 95215-9725 SRVC DATE: 09/04/19 81038057-1904716574 PHONE 209-SS6-5000 CUSTOMER# M032001 Morada Farms SRVC WEEK: 2019-36 500 N lack Tone Rd SRVC DATE: n9/04/19 BILL TO CUSTOMERS BILL TD ADDRESS: Stockton CA 95215-9725 5137094 Stockton Petroleum PHONE 209-556-5000 1905 Navy Or BILL TO CUSTOMERS BILL TO ADDRESS: --- Stockton CA 95206-1141 ST37094 Stockton Petroleum PHONE 407-428-3073 TAX EXEMPT8 1905 Navy Or CS( PURCHASE ORDERS Stockton CA 95206-1141 PRODUCT/SERVICES PHONE 407-428-3073 TAX EXEMPTS TOTAL PURCHASE ORDERS SERVICE/ PRODUCT qTY UNIT PRICE TAX CHARGE PRODUCT/SERVICES TOTAL IN 83383 DRUM,55 WASTE O.F. 6.000 105.0000 0.00 630.00 SERVICE/ CHARGE SERVICE TERM 24 WEEK PRODUCT QTY UNIT PRICE TAX 1.000 0.0000 O.00 0.00 66636 USEu v-: :<1cY1LL AUTOMOTI 451.000 0.0000 0.00 0.00 Ct 3383 D�YCEGAI FOR 4 WEEK lEWLiLE TERM 24 WEEK CAUSE CODE vvidHeaderAndLine -SERVICE NOT NEEDED HALOGEN /CLOR-O-TELT TEST RESULT PASS: PPM < 1000 100030 RECOVERY FEE 1.000 50.4000 0.00 50.40 10256 FEE, OIL SERVICE/STOP NON 1.000 0.0000 0.00 0.00 SERVICE TERFt 24 WEEKG 3230 TAX HANDLING N;C DRUM DROP 30 1.000 0.0000 0.00 0.00 N --------- ------------------------ 155.4000 0.00 680.40 TOTAL SERVICE/PRODUCTS 0.0000 0.00 0.00 T TOTAL SERVICE/PRODUCTS TOTAL CHARGE 0.00 CREDITS CHARGE 680.40 .00 CREDIT'S 0.00 `Q 1`y CREDITS --- ---------- TOTAL WE 0.00 --------- - TOTAL DUE 680.40 /V� �.(~�y�� --- _-_ Cc UNPAID BALANCE THIS RECEIPT 0.00 UNPAID BALANCE THIS RECEIPT 680.40 If high risk source, rep. certifies that load specific PCB 8 Silicon GENERATOR STATUS testing have been completed prior to pumping this load. 0-220 lbs/month Customer certifies that (i) the above-named materials are properly classified, packaged, marked and labeled. and are in proper condition GENERATOR STATUS ENER Vehicle for transportation according to the applicable regulations of the Department of Transportation (ii) no material change has occurred Custumter certifies that (i) the above-named nidteridlt- are properly either in the characteristics of the waste/material or in the process classified, packaged, mtarked and labeled, acid are in proper condition generating the waste/material, and (iii) the above referenced for transportation aeeut•41ino to tite &pplitdble regulations of the Generator Status is correct. Customer agrees to pay the above charges Department rt Tranaportatiun (i i) no nwterial change has occurred and to be bound by the terms and conditions (1) set forth in Gil either in the chatdcteriatica of the waste/atdterial or in the process General Terms and Conditions provided separately to Customer to (b) generating the waste/material, and (iii) the above referenced any SK agreement signed by f!:stomer and SK, and (2) incoruoratcd Generator Status is correct. Customer agrees to pay the above charges and to be bound by the tens dna conditions (1) set forth in (a) the General Terms, and Cond it ioua Prov ided �eparatel y to Cuatvtner ur 0A dny SK dureetnent signed by Cuatomrr N