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n <br /> SSL-UMO-01 Joseph R Lima Jr 09/23/19 10:29 PAGE 1 CSG SK-SSL-UMO-01 Joseph R Lima Jr 08/19/19 09:43 PAGE 1 <br /> Safety-Kleen Systems, Inc . Safety-Kleen Systems, Inc. <br /> 2600 N Central Ex 2600 N Central Expy, Suite 200 <br /> Expy, Suite 200 Richardson, TX 75080 <br /> Richardson, 75080 CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-11760760 ( <br /> CORPORATE: 8000-- (40 24 HR EMERGENCY: 800-468-1760 (,Safety-Kleen) <br /> Safety-Kleen) 2 <br /> 2095451011 095451011 <br /> REFERENCE NOR. <br /> ER# <br /> REFERENCE NOR. CUSTOMER# RY12021 Ryder T/S 1071 80911294 <br /> IRY12021 Ryder T/S 1071 81218429 3633 Duck Creek Or SRVC WEEK: 2019-34 <br /> 3633 Duck Creek Or SRVC WEEK: 2019-39 Stockton CA 95215-7953 SRVC DATE: 08/19/19 <br /> Stockton CA 95215-7953 SRVC DATE: 09/23/19 PHONE 209-943-3218 <br /> PHONE 209-943-3218 BILL TO CUSTOMER# BILL TO ADDRESS: <br /> 1 CUSTOMER# BILL TO ADDRESS: Ryder T/S 1071 <br /> 3633 Ducckk Creek Dr <br /> 1 Ryder 1071 RY12021 3633 Duck Creek Dr <br /> Stockton CA 95215-7953 Stockton CA 95215-7953 <br /> PHONE 209-943-3218 PHONE 209-943-3218 <br /> SE ORDER# 9-23-19 TAX EXEMPT# PURCHASE ORDER# 8-19-19 PRODUCT/SERVICES TAX EXEMPT# <br /> ICE/ PRODUCT/SERVICES SERVICE/ TOTAL <br /> TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE <br /> UCT QTY UNIT PRICE TAX CHARGE EE, OIL SERVICE/STOP NON 1.000 10256 F <br /> FEE, OIL SERVICE/STOP NON 1.000 <br /> SERVICE TERM 4 WEEK SERVICE TERM 4 WEEK <br /> SED OIL RECYCLE AUTOMOTI 1065.000 66636 U <br /> USED OIL RECYCLE AUTOMOTI 995.000 <br /> SERVICE TERM 4 WEEK SERVICE TERM 4 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> HALOGEN f CLOR-D-TECT TEST RESULT PASS: PPM < 1000 ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS <br /> ---------------------------------------- TOTAL SERVICE/PRODUCTS <br /> TOTAL CHARGE <br /> TOTAL CHARGE CREDITS <br /> CREDITS --------------- <br /> -------------- TOTAL DUE <br /> TOTAL DUE <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT UNPAID BALANCE THIS RECEIPT <br /> h risk source, rep. certifies that load specific PCB &Silicon If high risk source, rep. certifies that load specific PCB & Silicon <br /> g have been completed prior to pumping this load. testing have been completed prior to pumping this load. <br /> TOR STATUS GENERATOR STATUS <br /> Vehicle CESQG: Vehicle <br /> ar certifies that (i) the above-named materials are properly Customer certifies that (i) the above-named materials are properly <br /> Fied, packaged, marked and labeled, and are in proper condition classified, packaged, marked and labeled, and are in proper condition <br /> ansportation according to the applicable regulations of the for transportation according to the applicable regulations of the <br /> nent of Transportation (ii) no material change has occurred Department of Transportation (ii) no material change has occurred <br /> ­­ -- rh—arteristics of the waste/material or in the process <br /> in the characteristics of the waste/material or in the process _ <br /> ting the waste/material, and (iii) the above referenced srntemwn+ Rc�F�u ^+ ^• ^- -- <br /> tor.Stot4s is <br /> SK-SSL-UMO-01 Joseph R Lima Jr 12/18/19 07:'4 PAGE 1 <br /> CSG SK-SSL-UMO-01 Joseph R Lima Jr 11/20/19 07:48 PAGE 1 <br /> Safety-Kleen Systems, Inc. Safety-Kleen Systems , Inc. <br /> 2600 N Central Expy, Suite 200 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 <br /> 2095451011 REFERENCE NOR. <br /> REFERENCE NOR. CUSTOMER# RY12021 Ryder T/S 1071 <br /> 81509647-190576,7985 <br /> TOMER# RY12021 Ryder T/S 1071 81749005-1906309896 <br /> 3633 Duck Creek Dr SRVC WEEK: 2019-47 <br /> 3633 Duck Creek Or SRVC WEEK: 2019-51 Stockton CA 95215-7953 SRVC DATE: 11/20/19 <br /> Stockton CA 95215-7953 SRVC DATE: 12/18/19 PHONE 209-943-3218 <br /> PHONE 209-943-3218 BILL TO CUSTOMER# BILL TO ADDRESS: <br /> L TO CUSTOMER# BILL TO ADDRESS: RY12021 Ryder T/S 1071 <br /> 2021 Ryder T/S 1071 3633 Duck Creek Or <br /> 3633 Duck Creek or <br /> Stockton CA 95215-7953 <br /> Stockton CA 95215-7953 PHONE 209-943-3218 <br /> PHONE 209-943-3218TAX EXEMPT# <br /> CHASE ORDER# 12-18-19 TAX EXEMPT# ' PURCHASE ORDER# 11-20-19 <br /> PRODUCT/SERVICES PRODUCT/SERVICES <br /> ERVICE/ SERVICE/ TOTAL <br /> RODUCT TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE <br /> QTY UNIT PRICE TAX CHARGE 66636 USED OIL RECYCLE AUTOMOTI 870.000 <br /> 56 FEE, OIL SERVICE/STOP NON 1.000 SERVICE TERM 4 WEEK <br /> SERVICE TERM 4 WEEK HALOGEN / CLOR-O-TECT TEST RESULT PASS: PPM 1, 1000 <br /> 36 USED OIL RECYCLE AUTOMOTI 695.000 10256 FEE, OIL SERVICE/STOP NON 1.000 <br /> SERVICE TERM 4 WEEK SERVICE TERM 4 WEEK <br /> ----------------- <br /> HALOGEN / CLOR-D-TECT TEST RESULT„ PASS: PPM < 1000 ------------------------ <br /> TOTAL SERVICE/PRODUCTS TOTAL SERVICE/PRODUCTS <br /> TOTAL CHARGE <br /> TOTAL CHARGE CREDITS <br /> CREDITS <br /> --------------- <br /> --------------- TOTAL DUE <br /> TOTAL DUE <br /> --------------- <br /> --------------- <br /> ,,,.o„rn ---- ------- UNPAID BALANCE THIS RECEIPT <br />