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0 0 <br /> 9RANCH 718501 CSG 24 BLACK,DAAMON 07/24/08 15:39 PAGE 1 <br /> Safety-Kleen <br /> 5400 Legacy Dr. <br /> Cluster II, Building 3 <br /> Plano, Texas 75024 <br /> 209-545-1011 <br /> REFERENCE NBR <br /> CUSTOMER# 370412 STOCKTON UNIFIED SCHOOL Dl 0036884053 <br /> SERVICE TAX: 0.08000 ATTN DON SRVC WEEK: 08-30 <br /> COMS TAX: 0.00000 1932 N EL PINAL SRVC DATE: 07/24/08 15:38 <br /> ,RODUCT TAX: 0.08000 STOCKTON CA 95202 <br /> SHONE 209-944-4133 <br /> PURCHASE ORDER# TAX EXEMPTION NBR: <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 100008 FEE, CALIFORNIA FUEL NON TA 1 20.0900 0.00 20.09 <br /> 54830 COMS MDL 54 AQ/6317 1 432.9100 0.00 432.91 <br /> SIN 11775 CLEAN 8 SPENT 0 <br /> SERVICE TERM 24 <br /> REMARKS USE PO# P603341 <br /> - <br /> ---------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 453.0000 0.00 453.00 <br /> :rSEPA TRANSPORTER 1 TXR000050930 GENERATOR ID CAD981163975 <br /> l;SEPA TRANSPORTER 2 GENERATOR STATE <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> SAFETY-KLEEN SYSTEMS, INC. <br /> 6000 88TH STREET <br /> SACRAMENTO CA 95828 <br /> USEPA ID NO CA0000084517 TOTAL CHARGE 453.00 <br /> STATE ID NO WASTE MIN 0.00 <br /> ------------- <br /> TOTAL DUE 453.00 <br /> UNPAID BALANCE THIS RECEIPT 453.00 <br /> Machine clean and good condition? Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> Prop 65 warning (Calf. only)? Yes <br /> GENERATOR STATUS > 2200 lbs/month <br /> `lie generator has established a program to reduce the volume or <br /> .iantity and toxicity of the hazardous waste to the degree, as determined <br /> y the generator, to be economically practicable. <br /> .'ustomer certifies that (i) the above-named materials are properly <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 and (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> 7enerating the waste/material. Customer agrees to pay the above <br /> charges and to be bound by the terms and conditions (1) set forth in (a) <br /> the General Terms and Conditions provided separately to Customer or <br /> (b) any SK agreement signed by Customer and SK, and (2) incorporated <br /> erein by reference. Unless otherwise indicated in the payment <br /> --ceived section, SK is authorized to charge Customer's account for this <br /> ansaction. Customer certifies that the individual signing this Service <br /> '=acknowledgement is duly authorized to sign and bind Customer. <br /> CONTINUED <br />