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.++vv.oya,.y....•c,v.w.c.,.,co cvvco,y-a�.w �f��.��, 6. DUNS NO. 05397$557 FED,10 NO. 39E�90D19 E <br /> Plano,Texas 75024 www.safetykleen.Dorn � FOR SERVICE CALL BRANCH MANAGER .EXP. s wE DULE <br /> 81®. CUSTOMER NO. SE Ltvtm <br /> 209-545--101 RALPH TORRES E06/06/01) 09-15 24 0038873947 <br /> CRED <br /> CODE PREVIOUS 8ALANCE <br /> 0000-4530-31 . <br /> MAINTENANCE AND OPERATIONS sE6MENT cHAIN NTY SVC.PIC PROD.PJc <br /> ATTN DON 1932 EL PINAL DRIVE 071 <br /> 1932 N EL P I NAL • C/0 S U S D LOCATION TAX EXEMPTION No. <br /> STOCKTON CA 95202 STOCKTON CA 95205 719SUT- <br /> SERVICE DATE ISALES REP N0. I CUSTOMER P.O.NUMBER CUSTOMER PHONE# I TAX CODE DATE EQPT(PROD ORDERED SERVICE TAX C.O.M.S.TAX I PRODUCT TAX <br /> 3 P921297 209-944-413 05-195-848 PW 09 <br /> DEPT PRODUCT NUMBE UNIT OUAN, CHARGE SALES TOTAL WASTE SOLVEN�IDRUMS CC SERVICETsCHAWN <br /> a FN PROMO MEDS <br /> TAX CHARGE MIN, CLEAN SPE T SKDOFt"mu m,A INDA coot NO. RELEASE NO,Gm <br /> 02387 0. 00CO p <br /> 092387 870203 2 1 p <br /> 09483..0 940133 1 1 189. 40 17. 5 206. 5 0. 00 14941 p <br /> 092387 870253 4 1 p <br /> 094837 9411330 1 182. AS 16. 39 198. 44 0. (0-- -1-4911 p <br /> 094837 941131 3 1 182. .1l5 16. 9 198. ' 4 O. CO 149 1 p <br /> 094830 94013442, 1 189, , 0 17. ( 5 206. 45 0. C 0 14911 ❑ <br /> 010000 1 9. 2 0. f 3 10. ( 5 01CO ❑ <br /> TOTAL-SERVICE/PRODUCTS �p CHECK GOOD POORINPLACE ves NO vty aro <br /> 3 �'� APPROPRIATE NACNf vo <br /> O b1AGIpNEPRCtIYGRQUNptprh <br /> 8 CUAN f 55 FUME�o tial.MCPHOI M CIIINE3TO !J p tZ3J <br /> ASD ror Atalr <br /> USEPA TRANSPORTER 1 ID N0. USEPA TRANSPORTER 21D NO, GENERATOR USEPA IO NO, GENERATOR STATE 10 N0. w�ASSEMBLY Fa�RBBvcYCt05uDc SPENT SOLVENT MEETS❑ ❑ <br /> TXRO00050930 CAD981163975 ETON OF LID UUMTRWED <br /> 11.US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME,HAZARD CLASS,AND ID.) +NcoNTATNms 13. TOTaL 14.UNIT SK DOT NUA9BER 516305 CERTIFY THAs MY OTA! <br /> ASTE STREAR[S ARE WITHIN ui <br /> NON—RCRA HAZARDOUS WASTE, LIQUIDM h 1494 oe of THe FOLLOWING � <br /> ( AQUEOUS PARTS WASHER SOLUTION) <br /> 0TBj0LBSJMDNTM <br /> Z <br /> _.INITIALS Y <br /> u0L.BB.T02,2p0L9glMONIT, a <br /> —T rE W <br /> IREATTiR THAN 2=LSS TH § <br /> V} . <br /> INITIALS <br /> DESiGNATEDFACILITYNAMEAN ADDRESS SAFETY---R—LEEN ICErmFYTHAT NOMATERIAL CHANc�ws.occul�mUr,�gEpglD�p Z <br /> EITKE FI IN THE CHARACTERISTICS OF THE WASTE Q M1 <br /> 6000 88TH STREET SACRAMENTO CA 95828 MATTWASTE S�ORR LIN. THE PROCESS OENERATINO THE S7ATEIDNO W <br /> CASH ❑ TOTAL RECEIVED APPLY PAYMENT TO. MANIFEST NO. I ACME TO PAY THE ABOVE CHARGES AND TO SE BOUND BY THE TERMS AND TOTAL CHARGE �— Q P <br /> CHECK NUMBER CONDITIONS SET FORTH ASOVE AND ON THE REVERSE SIDE OF THIS DOCUMENT. (FROM ABOVE) <br /> p TDOAY'SwAvIOFJSALE $ PLEASE CHARGE MY ACCOUNT FOR THIS TAANSACMON UNLESS OTHERWISE tC <br /> ©P0.ENOtl6 BALARCE AS FlLltPoPB SATED IN THE PAYMENT RECEIVED SECTIO!.THE INDIVIDUAL SIGNING THIS WASTE MIN. �Q <br /> • MESSAGE DOCUMENT N OILY AUTHORIZED TO SKIN AND BSJD CUSTOMER TO ITS TERMS. (FROM ABOVE) N d <br /> INVOICE# AMOUNTS INVOICE# AMOUNTS LDR <br /> • PNP«oawncnaawoaeoanacoerAraawepp9o�anOroaacml»Dnerea TOTAL DUE <br /> CREDIT <br /> mA NEEST CODE 6Ep# <br /> piED N .. 1D ! P ^. r A L, DO NOT WRITE IN THE AREA BELOW <br /> CREDIT CARO No. PTInt Customer Name <br /> AM EXP.DATE 0038873947' <br /> VISA CLEM El me By. <br /> 0000-3704-12 -3 <br /> FINFOPWMON <br /> RTR REFERENCE A& xized <br /> RRepreBentatHe <br /> s <br /> ,1 THIS AGREEMENT CONTINUES ON THE REVERSE SIDE <br />