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CSG SK-SSL-VAC-42 Benjamin D Taylor 12/12/19 12:08 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 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 NBR. <br /> CUSTOMER# CA39985 Cal West Concrete Cutting 81B24636-1906491207 <br /> 1153 Vanderbilt Cir SRVC WEEK: 2019-50 <br /> Manteca CA 95337-6120 SRVC DATE: 12/12/19 <br /> PHONE 209-823-2236 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> CA399B5 Cal West Concrete Cutting <br /> 1153 Vanderbilt Cir <br /> Manteca CA 95337-6120 <br /> PHONE 209-823-2236 <br /> PURCHASE ORDER# Shop TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 10967 VAC SERVICE FEE AUTOMOTIV 1.000 304.0000 0.00 304.00 <br /> SERVICE TERM 52 WEEK <br /> 66667 VACUUM LIQUID (NON-PQUAL) 770.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 6 <br /> 66677 VACUUM SOLID (NON-PQUAL) 730.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 6 <br /> # CONTS: 1 TSDF: EVG MANIFEST#: 24636 FORM CD: BL SHIP# 230149105 <br /> CNT#: 191212536193 QTY: 1500 WT/VOL G PROF# 156097 SKDOT 3299 <br /> 100030 RECOVERY FEE 1.000 80.5000 0.00 80.50 <br /> 10908 VAC SVS SERVICE FEE 1.000 693.0000 0.00 693.00 <br /> 10913 VAC TRUCK WASH 1.000 300.0000 0.00 300.00 <br /> 82118 HALOGENS TEST 1.000 120.0000 0.00 120.00 <br /> 10975 FEE, VAC 50% SOLIDS 1500.000 1.6800 0.00 2520.00 <br /> 10924 FEE, VAC KLEEN DRAIN SRV 2.000 174.0000 0.00 348.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 1673.1800 0.00 4365.50 <br /> TOTAL CHARGE 4365.50 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 4365.50 <br /> UNPAID BALANCE THIS RECEIPT 4365.50 <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 />