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CSG SK-SSL-BOX-22 Mullan,Stephen D 10-16-2023 14:45 PAGE 1 V-8.2 <br /> Safety-Kleen Systems, Inc. <br /> 42 Longwater Drive <br /> Norwell, MA 02061 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NEE. <br /> CUSTOMER# SP25842 Speedco Truck Lube and Tires - 944 92891634 - 2305175257 <br /> 1515 Hoff Dr SRVC WEEK: 2023-42 <br /> Hwy 99 / 2373/Jacktone Rd Ripon SRVC DATE: 10-16-2023 <br /> CA 95366-0000 <br /> PHONE 209-599-7961 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> L030642 Love's Travel Stops <br /> 10601 N Pennsylvania Ave <br /> The Village <br /> ON 73120-0000 <br /> PHONE 405-463-8948 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE <br /> 3383 DRUM, 55GA OIL FILTER, DROP OFF 1.0 TIER1 TIER1 TIER1 <br /> SERVICE TERM 2 WEEK Scanned: NO <br /> 8003369 DRUM, 55 GL BLACK STEEL OH RECON 0 TIER1 TIER1 TIER1 <br /> SERVICE TERM 2 WEEK Scanned: NO <br /> 83383 DRUM, 55GA OIL FILTER WASTE, PICK UP 1.0 TIER1 TIER1 TIER1 <br /> SERVICE TERM 2 WEEK <br /> 898560 CARTRIDGE OIL FILTERS 55GL 3.0 TIER1 TIER1 TIER1 <br /> SERVICE TERM 2 WEEK <br /> 100030 RECOVERY FEE 1.0 TIER1 TIER1 TIER1 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.0 TIER1 TIER1 TIER1 <br /> TOTAL SERVICE/PRODUCTS ----------------------------------------------------------------------------- <br /> TIER1 TIER1 TIER1 <br /> TOTAL CHARGE TIER1 <br /> CREDITS TIER1 <br /> ------------------------------ <br /> TOTAL DUE TIER1 <br /> ------------------------------ <br /> UNPAID BALANCE THIS RECEIPT TIER1 <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Customer certifies that (i) the above-named materials are properly classified, packaged, marked and labeled, and are in <br /> proper condition for transportation according to the applicable regulations of the Department of Transportation (ii) no <br /> material change has occurred either in the characteristics of the waste/material or in the process generating the <br /> waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees to pay the above charges and <br /> to be bound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to <br /> Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise <br /> indicated in the payment received section, SK is authorized to charge Customers account for this transaction. If Customer <br />