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CSG SK-SSL-VAC-42 Johnny Owens 07/15/19 09:53 PAGE 1 <br /> Safety-Kleen Systems , Inc . <br /> 260D N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NOR. <br /> CUSTDMER# WE21958 (Sued) Weber High School 80539135-1903613070 <br /> 302 W Weber Ave SRVC WEEK: 2019-28 <br /> Stockton CA 95203-3124 SRVC DATE: 07/15/19 <br /> PHONE 209-993-5157 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> ST36681 Stockton Usd/Facility Planning <br /> 1044 E1 Pinal Or <br /> Attn. Butch Schmidt <br /> Stockton CA 95205-2548 <br /> PHONE 209-993-5157 <br /> PURCHASE ORDER# charles-lucera TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 66677 VACUUM SOLID (NON-PQUAL) 63.000 0.0000 0.00 0.00 <br /> SERVICE TERM 26 WEEK <br /> CAUSE CODE VOidHeaderAndLia! -SERVICE NOT NEEDED <br /> 10967 VAC SERVICE FEE AUTOMOTIV 1.000 455.0000 0.00 456.00 <br /> SERVICE TERM 26 WEEK <br /> 66667 VACUUM LIQUID (NON-PQUAL) 134.000 0.0000 0.00 0.00 <br /> SERVICE TERM 26 WEEK <br /> HALOGEN /CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 7 <br /> # CDNTS: 1 TSDF: MANIFEST#: 39135 FORM CO: BL SHIP# 228896074 <br /> CNT#: 190709383394 QTY: 134 WT/VOL G PROF# 156097 SKOOT 3299 <br /> 10901 VAC SVS SERVICE FEE 1 2.000 87.0000 0.00 174.00 <br /> 100065 E-Manifest Fee 1.000 10.0000 0.00 10.00 <br /> 10970 FEE, VAC NO SOLIDS 134.000 275.0000 0.00 275.00 <br /> ----------------------------------- <br /> TOTAL SERVICE/PRGDUCTS 828.0000 0.00 915.00 <br /> TOTAL CHARGE 915.00 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 915.00 <br /> UNPAID BALANCE THIS RECEIPT 915.00 <br /> Per BOG 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 and 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) 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 /> this Service Acknowledgement is duly authorized to sign and bind <br /> Customer. Customer acknowledgesthat it is responsible for maintaining <br /> its Generator Status and obtaining an EPA ID number if required by <br /> applicable law. The following provision is applicable to <br /> eafety-Klern'c parts cleaner and paint aun cleaner services: Customer <br />