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kyung park 209 835 3731 p.14 BRANCH 7142 CSC 25 Arturo Delyadilla 11/30/12 16:30 PAGE Safety-Kleen Systems, Inc. 26M N Central Espy, Suite 400 Ri<hWsan, IX 75090 800-669- 209-idS-IMMIDIl REFERENCE 15. CUSTP4flii 1Dp56235 244 CAR RASH DETAIL H 5957 LUBE 595732-0 24HO h Tracy Blvd ERVC WEEK: 2012-46 - hacy G 95376-1115 SRVC DdTE: I3/30/12 16:29 WONE 209.130-9596 .BILL SS CUOTOMERR BILI R RD 00/0055235 CT, WASH WASH DETAIL • LMEZ4M Trac N Tracy Bivd Tracy CR 95376-0715 Pl1OY'c 209-83045% pUft(TLlSE ORDERi TAX EXEMPTION MBR PRODUCT/SERVICES SERVICE/ I)TAL PRODUCT IM UNIT MCE TAX CHMGE 3383 DRUM 55 G.1L FOR O.F. 4.OD0 5.0000 0.00 20.00 SERVICE IERM 4 WEEK 83363 URUM,SS WASIE O.F. 3.900 30.0000 0.00 90.00 SERVICE 'REM 4 'AEEK 12306/ 675460 LsNOF N001 MOOT HADMAT, N 1.000 235.6000 0.00 23S.60 SEIMCE TEAK 24 WEEK I CONT-: t TSOF: 7401 N,MFESIr: 0029ZQJWos z FORM CD: U5,Sk )1 8 106929)36 CNTN: 120131193740 QTY: 35G W1vVOL P PROFILE: 0323% SKOUT 100056 63206 WASTE 4' FLORWU1B CST 3.000 0.0000 0.00 0.00 SERVICE TBW 24 WEEK i CONE: 3 TSDF: Fu FESrl: 24606 FORM CO; 81 SK SHIPS 106929739 CNV: 1Zi130%5532 QTY: 10 WT/VOL P PROFILE: 0150228 INGOT 14625 3206 BOX FLOR BULBS 4' 1000 34.01000 D.00 34.00 SERVICE TERM 24 MEEK LOD001 FEE, FUEL SURCHARGE 1.000 17.1100 0.00 17.11 3230 TAX HMmLUX N/C MUM DROP 30 5.000 0.0000 O.OD 0.00 ---------------___________________ IOTAL SERVICE/PRODUCts 321.9100 0.00 1%.91 WTAL 0ARGE 396.91 \ Qf0215 0.00 IOTA WE MAI UNP41D OALMCE TILS RECEIPT 3%.91 GERMAI E STAM 0-220 lb./"nth Custonnr Certifies that (i) the ahoy and e,aterials are properly dau if ie J, packaged, narked and labeled, and are in proper Gond itiae for tragsp..cation a<4 ed my to the applicable re yol at:ons of the Oepart!..t of Transportation end (ii) n nmterial Aaipe bas occurred either in the Ch....terislica of thr .rite/autee5al or iu the process gmeratiny the rosea/material. Cust..r agrees to pay the A... charges and to be bund bt the ter,ss and conditions (1) set forth in (a) the General Tw Has and Conditions provided separately to fust-ar or (b) any SK a0reanent signed by Customrer and Sk, and (2) inrorpora Md herein by reference. Unless othar.iS. i,alicated in the papnene roc ve eid section, S4< is i authorized to charge Custosnr'M nowt for this trmoad ion. Custore, certifies .het the individual signing this Service AeheowleJyOaent is duly authorized to oiun and bind Customer. roe follawinu provision is applicable to Safety-Kleen's parts I. oar and paint Uun cleener ze rsitel: Cu ,2 star agrees that it Mill not introduce any substame intothe solvent or aqueous cieaninu solution, including without limitation any hazardous caste or hatardous wasta constituent. eaeart to the -tent such :utrodurtion is incidattal to the am+aal use of the wachine- Curtwoer farther Wrees that it will not clean pa r<z/yaint vans that have keen e.utaninnted with or otherwise introduce p.1,61.1inated biphenyls htrb'icid.S, pesticides, dictias or listed hazardous west. into the solvent or .,or... cleaning suLtion, SeFety-Klan has the Capacity and is yero.ktad to accept. store, and/or reclaim the spent Parts .Sher solvent; paint tM1 inner z, salee.ts and Paints q..erat.4 by .St. .,: er dry cl an ing Fileer cartridges, powder, atd still residues containing oeeehloroethylene, petrol0.r naphtha, or triflurotrichimm.thaic dry deaninq soizvntz. Safety-Kleae and �.torooer agree Haat this ayes event is intended to satisfy the r equiremtnts of 40 CFR p62.20Ce). IN TRF EVENT OF 4i MERCE14CV CALL 24 M EMERGENCY a 1-600-468-1760 CS.fet)-klecn Contract F 96118) - k *V�