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CSG SK-SSL-BOX-21 Brandon J Gaither 01/12/17 10:52 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# IT10046 ITS Technologies 72371098-1700031298 <br /> 6540 Austin Rd SRVC WEEK: 2017-2 <br /> Stockton CA 95215-9662 SRVC DATE: 01/12/17 10:50 <br /> PHONE 209-450-9035 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> IN30053 In-Terminal Svc <br /> 6540 Austin Rd <br /> Stockton CA 95215-9662 <br /> PHONE 999-999-9999 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 90837 MODEL 90 W/2387 & 6365 1.000 304.3000 23.58 327.88 <br /> SIN 14129967 TAG 00001170SK14129967 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 960444/ <br /> 875460 CNO-NON HAZARDOUS SOLID 5 6.000 318.2900 0.00 1909.74 <br /> SERVICE TERM 8 WEEK <br /> # CONTS: 6 TSDF: SJ MANIFEST#: 005862767SKS FORM CD: US SHIP# 221334523 <br /> CNT#: 170106434515 QTY: 475 WT/VOL P PROF# 960444 SKDOT 7582963 <br /> CNT#: 170106434517 QTY: 400 WT/VOL P PROF# 960444 SKDOT 7582963 <br /> CNT#: 170106434516 QTY: 400 WT/VOL P PROF# 960444 SKDOT 7582963 <br /> CNT#: 170106434524 QTY: 400 WT/VOL P PROF# 960444 SKDOT 7582963 <br /> CNT#: 170106434525 QTY: 400 WT/VOL P PROF# 960444 SKDOT 7582963 <br /> CNT#: 170106434526 QTY: 500 WT/VOL P PROF# 960444 SKDOT 7582963 <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 6.000 76.0000 35.34 491.34 <br /> SERVICE TERM 24 WEEK <br /> 787842 PAK605-WD PIG PALLET, POL 1.000 234.0000 18.14 252.14 <br /> SERVICE TERM 2 WEEK <br /> 100001 FEE, FUEL SURCHARGE 1.000 10.5000 0.81 11.31 <br /> 7899 FREIGHT 0.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 943.0900 77.87 2992.41 <br /> TOTAL CHARGE 2992.41 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 2992.41 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 2992.41 <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 /> 2200+ lbs/month <br /> Customer certifies that (i) the above-named materials are properly <br />