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CSG Sk Scd64AC-42 i�l -- Taylor 06/07/18 13:08 PAGE <br /> Safe 11 Systems , Inc . <br /> al Espy, Suite 200 <br /> .=on, TX 75080 <br /> ATE: 800-669-5740 <br /> 24 HR EMEH6ENLr: 800-468-1760 (Safety-kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER* 389793 10 Hunt - Stoca 77079774-1802844354 <br /> 2660 Loomis Rd SHVC WEEK: 2018.23 <br /> Stockton CA 95205-0000 SRVC DATE: 06/07/18 <br /> PHONE 209-235-1365 <br /> BILL TO CUSTOMER* BILL W ADDRESS: <br /> 389788 30 Hunt <br /> 705 B North Bloomington <br /> Lowell AR 72745-0000 <br /> PHONE 479-659-*SOS <br /> PURCHASE ORDER# TAX EXEMPT* <br /> PRODUCT/SERVICES <br /> SERVICT TOTAL <br /> PRODUL. QTY IBJIT PRICE TAX CHARGE <br /> 66667 vu UUM LIWID OWN-PQUAL) 420.000 1.2500 0.00 525.00 <br /> " SERVICE TERM 24 WEEK <br /> HALOGEN /CLOR-D-TECT TEST RESULT PASS: PPM s 1000 <br /> VAC PH TEST: 8 <br /> ar 66677 VACUUM SOLID (JON-PQUAL) 980.000 1.7500 0.00 1715.00 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 8 <br /> * CONTS: 1 TSDF: FVG MANIFEST*: 79774 FORM CD: BE SHIP* 225675798 <br /> CNT*: 180607867905 QTy: 1400 WT/VOL P PROF* 156097 SKOOT 3299 <br /> 10967 VAC SERVICE FEE AUTYMOTTV 1.000 0.0000 0.00 0.00 <br /> 821 DEGREASER, HEAVY DUTY 5 G 3.000 $1.0000 13.77 166.77 <br /> SERVICE TERM 24 WEEK <br /> 10134 TECHNICAL LABOR CHARGE 6.000 96.0000 0.00 576.00 <br /> SERVICE TERM 24 WEEK <br /> 10906 VAC SVS SERVICEFEE 6 1.000 520.0000 0.00 520.00 <br /> 10913 VAC TRUCK WASH 1.000 300.0000 0.00 300.00 <br /> 10924 FEE. VAC KLEEN DRAIN SRV 3.000 140.0000 0.00 420.00 <br /> 82118 HALOGENS TEST 1.000 120.0000 0.00 120.00 <br /> 10977 FEE, VAC 70% SOLIDS 1400.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 1230.0000 13.77 4342.77 <br /> TOTAL CHARGE 4342.77 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 4342.77 <br /> UNPAID BALANCE THIS RECEIPT 4342.77 <br /> Per BUG M420-001 the halogen detecting instrument has been <br /> zeroed and validated. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer 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 (ii) no material change has 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 sod Conditions provided separately to Customer or (b) <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 Customer fails to make payment when due, an <br /> amount equal to the lesser of (i) 1.5% per month (18% per annum) o <br /> (ii) the ,,,4n- zll-,•. - .id:d .n all inn., <br />