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"*l1A,IIAVtD 11112156 15:11 PAGE 1 <br /> Safety -Klee 3 <br /> Cluster II, Building 3 <br /> Plano, Texas 75024 <br /> 209-545-1011 <br /> REFERENCE NBA <br /> CUSTOMER# i;'lull .i. ;%!!: )JAI OF TRACY 0037702747 <br /> SE.RVIEF iAN 11 W.";i 1 r.Vu NAIAEE RD )hVC WEEK: 08-46 <br /> GINS rAX O.Uuuwi SRUC DATE: 11112/08 15:09 <br /> PRODUCT TAX: 0 07750 181,1-Y CA 95304 <br /> PHONE 209-820-1800 <br /> PURCHASE ORDER# 58876 TAX EXEMPTIf41 NUH: <br /> PRODUCT/SERVICES E <br /> SERVICE/ TOTAL <br /> PRDMT QTY UNIT PRICE TAX CHARGE <br /> 2387 HEATER-PUMP-MODUIE ASSFMBLY 0 0.0000 0.00 0.00 <br /> 100009 FUEL FEE SLWCHAIIGF 1 14.8000 1.15 15 95 y <br /> 90837 MODEL % W12361 R 6317 1 151.5900 14.85 205 44 <br /> SIN 07051305 TAG 0UUU1110SK07051305 CLEAN 5 SPENT 0 <br /> SERVICE TERM 8 PREY SERIAL# 51305 }+ <br /> CAUSE CODE 4 INV CODE R y <br /> 92387 2387 PUMP ASSEMBLY 1 0.0000 0.00 0 00 <br /> SIN 07055049 TAG 000023875Kn7055049 CLEAN 0 SPENT 0 <br /> SERV I CF TF H14 8 PHI V SER I AL# 871155049 <br /> CAUSE CODE 4 3 <br /> --------------- --------------- ---- - <br /> 1UTAL SEHVII:LIPH000CTS 206.3900 16.00 222.39 <br /> IISFPA 1RAN`.IIJ1ill i, i INRO00060930 GENERAIUR ID C'AL000332354 <br /> USEPA 1RANSPUHILH 2 GENERATOR STATE <br /> MANIFEST TRACKING # 001551203SKS FORM CODE 1D <br /> IIS UU1 Ilt_%HIPIION (INCtIJUINU PRUPL-H SHIPPING NAME, HAIARU CLASS, AND 10 , <br /> NON-RCRA HAZARDOUS WASTE, LIQUID <br /> (AQUEOUS PARTS WASHER SOLUTION) �I <br /> TOTAL CONT 1 TYPE DM TTL QTY 15 UNIT WT/VOL G SKDOI 1494 <br /> CNT# 81018060427 QTY 15 WASTE CODE CA 134 CA CAT G o m„ <br /> DESIGNATED FACILITY NAMEIADDRESS: E <br /> SAFETY-KLEEN SYSTEMS, INC. u <br /> 6000 88TH STREET <br /> w <br /> SACRAMENTO CA 95828 a <br /> r <br /> USEPA 10 NO CA0000084517 TOTAL CHARGE 222.39 <br /> STATE 10 NO WASTE MIN 0.00 ++ <br /> w <br /> TOTAL DUE 222.39 b <br /> N <br /> UNPAID BALANCE THIS RECEIPT 222.39 <br /> Machine clew i i , ,1 y­n4 WWI iIioil? Yes � <br /> Decals in ijl,,, d aJ legible? Yes <br /> Fusible I rd i ital lett? Yes c <br /> 1, .r Yes a' <br /> m <br />