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Customer Name: r C_ V_k , Customer Number: c—o 9?6 <br /> Phone: 4 —32-8� Safety-Kleen Representative: B T� !CF <br /> Address: N 15 , /'Y 90�S}Contact: No Branch Phone Number: <br /> Sa 141�UUno City: sfcx State: Zip: Date: <br /> E-mail: Fax: Follow-Up Week: P A <br /> ❑ Lube Oil ❑ Parts Cleaning Containerized Waste 'x 0i1Nac Services Products&Services <br /> 49P. <br /> .&Q-', <br /> LUBE OIL Performance Plus Lubricants:Automotive,Heavy Duty, <br /> PART# DESCRIPTION PACKAGING QTY PRICE FREQUENCY TOTAL COST <br /> ANNUALGAL <br /> PARTS CLEANING Solvent,Aqueotis,Recyclers,and Paint Gun Cleaning Systerns <br /> MODEL# DESCRIPTION QTY SERVICE TERM PRICEISERVICE MONTHLY COST ANNUAL COST <br /> CONTAINERIZED1 Booth <br /> PART# DESCRIPTION OF WASTE ONE TIME(X) GTY DRUM SIZE SERVICETERM PRICE/DRUM TOTAL COST <br /> 1 Oil and Antifreeze,Vacuum Services <br /> PART# DESCRIPTION PFO(Y/N) PRICE/GAL STOP FEE GAL/SERVICE SERVICETERM TOTAL COST <br /> gaa 6 Te-S ,kb e Zv <br /> 9 T 5 3 <br /> i 3 30� �- <br /> ANNUALGAL <br /> PRODUCTS , 1Absorbents, , <br /> PART# DESCRIPTION PRICEPERUNIT QTY TOTAL COST <br /> (moo e <br /> % jjona tog <br /> NOTES <br /> Note:All quotes are valid for 30 days. <br /> ❑Yes,I would like to receive special offers and <br /> product announcements via E-mail. Cus mer Sig�urg� —r„ <br /> E-Mail Address: j <br /> Sales Representative Signature <br /> SK92143R(6/17) 800.669.5503 1 www.safety-kieen.com vO5O917 <br />