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tSCAMILLA,DAVID 01/Oa!09 12:52 PAGE m <br /> R-7 <br /> Safety-Me <br /> 5400 Legacy Dr. <br /> Cluster II, it 3 <br /> Pla exas 75024 <br /> Z09-545-1011 REFERENCE NB! <br /> 0038046296 <br /> USTOMER# 3264666 HYUNDAI OF TRACY 0038096Z96 <br /> WEEK; 09-02 E <br /> SERVICE TAX: 0.07750 3480 NAGLEE RD SRVC DATE: 01/u6/09 12:45 <br /> CAMS TAX: 0.00000 CA 95304 <br /> PRODUCT TAX: 0.07750 TRACY <br /> PHONE 269-820-1800 TAX EXEMPTION NBR: G <br /> PURCHASE ORDER# (,1 ; 'moi <br /> PRODUCT/SERVICES <br /> TOTAL <br /> SERVICE/ QTY UNIT PRICE TAX CHARGE 4J <br /> PRODUCT 0 0.0000 0.00 0.00 4V <br /> 2387 HEATER-PUMP-MODULE pSSEF16LY 1 191.5900 14.85 206.44m- <br /> !;08 <br /> 4- <br /> 90837 MODEL 90 W/4387 a, 6317 SPENT D a4 <br /> S/N 7051305 TAG 00001170SK07051305 CLEAN 5 <br /> SERVICE TERM 8 1 0.0000 0.00 0'00 i <br /> 92387 2387 PUMP ASSEMBLY SPENT 0 It <br /> S/N. 06024523 TAG 0000238 375806024523 CLEAN 0 <br /> SERVICE TERM 8 PREY SERIAL$ 7055049 <br /> CAUSE CODE C INV CODE R 1 9,8600 0.76 10.62- <br /> 100009 FUEL FEE SURCHARGE 1 11.0006 0.85 11.85 <br /> 614 BRUSH,FLO-THRU ----------------------------------------- <br /> _ - _ ---------------_--� <br /> TOTAL SERVICE/PRODUCTS 712 4500 16.46 228.91 <br /> GENERATOR USEPA CAL000332354 <br /> OSLVA IHANSPORTER 1 TXR004050930 GENERATOR STATE <br /> USEPA TRANSPORTER 2 <br /> MANIFEST DOC # 001596684SKS FORM CODE 1D wN <br /> US U01 UESCHIPIIDN (INCLUDING PKOPtR SHIPPING NAME, HAZARD CLASS, AND ID) V� <br /> NON-RCRA HAZARDOUS WASTE, LIQUID <br /> (AQUEOUS PARTS WASHERSOLUTION) TIL QTY 25 UNIT WT,hlOL G SKOOT 14941 <br /> I E <br /> . <br /> TOTAL CUNT I � . WASn CODE CA 134 O <br /> CNT# 81213058864 QTY Z$ Y <br /> DE51GNAIID FACILITY NAME/ADDRESS: <br /> SAFETY-KLEEN SYSTEMS, INC. d <br /> 6000 SSTH STREET 95W -0 <br /> SACRAMENTO �L <br /> 228.91 t <br /> USEPA ID NO CAOOOV-- -' •� not introduce <br /> STATE will Tn Nn W=ems <br /> ulution, including <br /> bra ini ,y,u cleauer s .. <br /> any >abntonce into r waste constituent, <br /> without limitation- - _ �,a",,,,, to the normal use <br /> except to the extent such muou,.�•' <br /> of the machine. Customer further agrees that ii will not th 01' dean <br /> Parts/Paint guns that have been conts"'Cideted wipesticides, dioxinsnoruGe <br /> hen is (pCB'5), herbicides, P -e <br /> polychlorinated Lip Y ueous cleaning solution. IN <br /> m <br /> listed hazardous waste into the solvent ar a4 s <br /> THE EVENT OF AN EMERGENCY CALL 1-800-468-1760 (24 hours) <br /> ae <br /> G <br /> SIGNATURE NAME: BOB V <br /> • <br /> C <br /> Q3 <br /> d <br /> 1 <br /> INVOICE # <br /> ACCT <br /> ACCT <br /> ACCT _ - - <br /> NAME_. <br /> MID01/05/09 12:52 PAGE 2 <br /> a <br /> e <br /> ev <br /> es <br /> s <br /> TRANSPORTER NAME: ESCAMILLA,DAVID <br />