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Ti <br /> CSG SK-SSL-13OX-23 Reymond Gomez <br /> 44/30/24 07:47 PAGE 1 <br /> y Safety Kleen Systems , Inc . <br /> 42 Longwater Drive <br /> Norwell, HA 02061 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: a00-468-1760 (Sefety Itleen) <br /> 209S451011 REFERENCE NOR. <br /> 83085711 <br /> CUSTOMER# RY12021 Ryder T/S 1071 • SRVC WEEK: 2020-18 <br /> 3633 oack Creek Or SRVC GATE: 04/30/20 <br /> Stockton CA 95215-7953 <br /> PHONE 209-943-3218 <br /> BILL TO CUSTDMER# BILL TO ADDRESS: <br /> RY12021 Ryder T/S 1071 <br /> 3633 Duck Creek Or <br /> Stockton CA 95215-7953 <br /> PHONE 249-943-3218 TAX EXEMPTS <br /> PURCHASE ORDER■ 1Oi15736T0 <br /> PRODUCT/SERVICES TOTAL <br /> SERVICE/ TAX CHARGE <br /> PRODUCT QTY UNIT PRICE <br /> 1997806/ 0.04 440.!6 <br /> 876460 023-EMPTY DRUMS 55GL 8.040 50.0200 <br /> # [ONTSCNT4: 200428157444 QTYSTI: A74�L3PSK$ FORM PROF1� 1997 06SHIP#S2�73M49940 <br /> CNT#: 200423157445 QTY: 1 WT/VOL P PROFO 1997806 SKDOT 5849940 <br /> ONTO: 200428157446 QTY: 1 MT/VOL P PROF# 1997806 SKDOT 8849940 <br /> CNTO: 200428157447 QTY: 1 WT/WL P PROF# 1997806 SKDOT 5849940 j <br /> CHT#: 200428157445 QTY: 1 WT/VOL P PROF# 1997806 SKDOT 8.849940 <br /> CNT#: 204423157449 QTY. 1 WT/VOL P PROF# 1997806 SKDOT 8849940 <br /> CWr#: 200 Q81S74SO QTY: i Vr/VOL P PROF# 1997846 SKDOT 8849940 i <br /> CNT#: 2004281S7451 QTY: 1 WT/VOL P PROF# 1997806 SKDOT 8849944 <br /> 100065 E-manifest Fee 1.044 20.0000 0.00-----20.00 <br /> --- ------------ I <br /> TOTAL SERVICE/PROOUCTS 70.0244 6,04 420.15 <br /> TOTAL CHARGE 420.16 <br /> CREDITS 0.64 <br /> TOTAL DUE +w..-420.16 ' <br /> UNPAID BALANCE THIS RECEIPT 424.16 <br /> r� <br /> F <br /> GENERA79R STATUS <br /> 0-220 lbs/mantle <br /> a. <br /> Customer tertifics that (i) the above-named materials areproperly <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change Ilas occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to paY the above charges <br /> and to be bound by the terms and conditions (1] set forth in (a) the <br /> General Terms and Conditions provided separately to Customer or W <br /> any SK agreement signed by Customer and SK, and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SK is authorized to charge Customer's account for <br /> this transaction. If Custm*r fails to make payment rrhen due, an <br /> amount equal to the lesser of (i) 1.5% per month (18% per annum or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Customer certifies that the individual signing <br /> +h-it S�rvicr Acknowledgefnent is duly authorized to sign,and bind <br /> ��d«l ��ulith Can <br />