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9 <br /> TMm[ [ <br /> I <br /> CBO SK - 6SL - BON - 73 DOseadi[,seemd OB - 28 - 202012702 PAGE j <br /> Safety — Kleen Systems, Inc. <br /> 42 L040"401 Dine 1 <br /> Norwell, mA 02061 ' <br /> CORPORATE : 000- 659 - 5740 <br /> 24 IN EMERGENCY! 800-460 - 1760 (Safety-XIeeA) <br /> 2096!61011 <br /> AEFfRENCE NBA, <br /> COMOMER0 OU12380011ld Clemne 84016100 - 2061173731 <br /> 17 S Church SE <br /> Lodi CA 95240 -2106 SRVC WEEK: 2020-35 <br /> PHONE 209- 368 - 2414 SAVC DATE: OB- 28 - 2020 t - <br /> SILL TOCUSTOMERa BILL TOAODBESS: <br /> OU12380 GuIld Clenm <br /> 17 B Church 61 <br /> Lodi CA 96240- 2106 <br /> PHONE 209- 368-2414 <br /> PURCHASE ORDER# TAX EXEMPTe <br /> PRODUCT/SERVICES <br /> 6EAWCEBI TOTAL _ <br /> PRODUCT BEY UNIT PRICE TAX CHARGE <br /> 8760511 <br /> 2056934 F83 - SEIN -1013 2.0 336.00 0.00 670.00 <br /> FOR FUEL 300L <br /> SERVICE TEAM 16 WEEK <br /> OCONTS: 2 TSOF: KP MANIFESTet OOT771160SXS FORM CO: US SHIPe 232168480 r <br /> CNTe 200811032329 OTY: 100 WTNOL P PROF+ 2056934 SKOOTe 8903222 <br /> CNIt 200811032328 OTY: 100 WTNOLP PROF# 20569M SKDOTO 0903222 <br /> 100030 AECOVESYFEE 1 .0 36.65 0.00 36,05 <br /> 100065 E -Mailled fee 3BB.DO 20.00 0.00 20.00 - <br /> TOTAL SERVICEIPRODUCTS 391.86 0.00 726,85 <br /> TOTAL CHARGE 0,00 <br /> CREDITS 0.00 - <br /> TOTAL DUE O.00 <br /> AMOUNTPAIO CHECK <br /> CHECK 2203 726,86 <br /> UNPAID BALANCE THIS RECEIPT 0.00 <br /> �I <br /> OENERATOR STATUS <br /> 0 - 2201bafmonth <br /> Cadanr idfiesthd R the I hill edatilidtd a prcgim M redun the volume <br /> tlwe—nrned mdrlds re proprlf or quanbq and bmlii y of the hsrdous will <br /> olost ed, pal noted end to the degree 10 be eimadldh Frrtriabl[ labeled, <br /> end re In proper emJAm ler trnpoHdlm assailing to the epplitable 11901110111 Of <br /> the Dprhnanl d IrnpoHetlm IO no mdedd thnpe hes occurred h6r In the j <br /> sherrbdrile d the wddiMedd r In the pirea penrounp the wddmernd, end <br /> IID the ebae rderenred Banadar SleM1ieic lural Guiana 09106+10 ped the tlwe <br /> chrpee and to he band by the Inns end emdMms 0) sol lath In d6 he Cnrd le"'o <br /> ndb O�dam <br /> HEuEIVED <br /> AUG 2 S 2020 <br /> ENVIRONMENTAL_ HEALTH <br /> F) ERARTMENT <br />