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BRANCH SSL CSG 24 David Buxton 06/06/14 09:41 PAGs�i <br /> 1E ' <br /> Safety-M een Systems, 'Inc. <br /> 2600 N Central Expy, Site 400 SEP 3 0 2016 <br /> Richardson, TX 75060 <br /> 24 HR EMERGENCY:A 0TE0-466-1177605740(Safety-Kleen) <br /> 1011 <br /> CUSTOMERS ST29808 Stockton Rubberr MfgREFERENCE N9NVIRONMENTAL HEALTH <br /> .Mfg Co Inc 63783325 <br /> 5023 N Flood Rd SRYC WEEK. 2014-23 DEPARTMENT <br /> Linden CA 95236-9455 SRUC DATE; 06/06/14 09:41 <br /> PHONE 209-887-1172 <br /> BILL TO CU5T0MER8 BILL TO ADDRESS: <br /> ST2908 Stockton Rubber Mfg Ce Inc <br /> $023 N Flood Rd <br /> Linden CA 9s236-9455 <br /> PHONE 208-667-1172 <br /> PURCHASE ORDEBN TAX EXEMPT* <br /> SERVICE/ <br /> PRODUCT/SERVICES PRODUCT TOTAL <br /> RTY UNIT PRICE TAX CHARGE <br /> 13131 COMS SEC W/CLEAR CHOICE 1.000 298.4400 0.00 298.44 <br /> 5/N 130S3534'CLEAN 1.000 SPENT 0.000 <br /> SERVICE TERM 8 WEEK <br /> 100001 FEE, FUEL SURCHARGE 1.000 16.4500 0.00 16.45 <br /> -- <br /> DU <br /> ---------- ------------------- ---------- <br /> TOTAL SEMCE/pROCTS - 314.800 0.00 314.84 <br /> TOTAL CHARGE 314.89 <br /> CRUM 0.00 <br /> --------------- <br /> TOTAL WE314.89 <br /> =-.�e�aa�xaaa • <br /> UNPAID BALANCE THIS RECEIPT 314.89 <br /> Is the Gun cleenpr properly grounded to protect agdinsl static electricity?Yea I - <br /> Ts 0* eihau.t yes pipis, from this Gun tTranrr, veatrd directly outdnors us• is <br /> it vented into Cor located inside) the Paint spray, booth? Yes <br /> Machine clean and good condition?Yes <br /> Lamp Assembly Condition Yes <br /> Decals in place and legible?Yes <br /> Fusible link installed?Yes e <br /> Emergency closing of lid unobstructed?Yes <br /> Machina properly grounded?Yes <br /> .Local Phone No. Sticker Affixed to'Machine yes <br /> Spent solvent meets acceptance criteria?Yes <br /> GENERATOR STATUS <br /> 0-220 lftt/month <br /> Customer certifies that (i) the above-owned anateeials'are properly <br /> classified, packaged, mar" and labelenl, and are is a.raller condition <br /> for transportation according to the applicable regulations of the <br /> Department of Tronsportation dud Cii) no material shange has occurred <br /> j either in the characteristics of the waste/material or in the process <br /> generating the waste/material. Costamer agrees to pay the above <br /> charges and to be boond.by the terms and conditions CC� sat forth in <br /> Cal the General Terms and Conditions provided separlitiil'y to Customer <br /> or, (b) any SK agreement sinned by Cost—or and ca rad'ria <br />