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CSG SK-SSL-BOX-24 Shane Allen 06/22/18 12:30 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# RA24640 Rail Terminal Services 77006038-1802697713 <br /> 1000 E Roth Rd SRVC WEEK: 2018-25 <br /> French Camp CA 95231-0000 SRVC DATE: 06/22/18 <br /> PHONE 209-546-7279 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> RA24640 Rail Terminal Services <br /> 1000 E Roth Rd <br /> French Camp CA 95231-0000 <br /> PHONE 209-546-7279 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 905837 MODEL 90.5 W/2387 6365 10 1.000 280.0700 21.71 301.78 <br /> SIN 15918153 TAG 00002697SK15918153 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 3383 DRUM,55 GAL FOR O.F. 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 83383 DRUM,55 WASTE O.F. 1.000 80.0000 0.00 80.00 <br /> SERVICE TERM 12 WEEK <br /> 1426863/ <br /> 875460 CNO-NON HAZARDOUS SOLID 5 1.000 279.0300 0.00 279.03 <br /> SERVICE TERM 12 WEEK <br /> # CONTS: 1 TSDF: SJ MANIFEST#: 011856033fle FORM CD: US SHIP# 225739212 <br /> CNT#: 180615014920 QTY: 150 WT/VOL P PROF# 1426863 SKDOT 8016665 <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 2.000 76.0000 11.78 163.78 <br /> SERVICE TERM 12 WEEK <br /> 1558903/ <br /> 875120 LCCRQ 55GL LP AEROSOLS FO 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 100001 FEE, FUEL SURCHARGE 1.000 13.4800 1.04 14.52 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 728.5800 34.53 839.11 <br /> TOTAL CHARGE 839.11 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 839.11 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 839.11 <br /> Machine clean and good condition? Yes <br /> Lamp Assembly Condition Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Local Phone No. Sticker Affixed to Machine Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, and are in proper condition <br />