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CSG SK-SSL-UMO.01 Joseph R Lirna Jr 03/23/17 09:34 PAGE ; <br /> Safety-Kleen Systems, Inc. <br /> 2600 NCentral Expy, Suite 20O <br /> Richardson, T7( 75080 <br /> CORPORATE: 800-669-5740 <br /> 14 HR EMERGENCY: 800-468.1760 CSsfety-Kleen) <br /> 2095451011 <br /> CUSTDMERF UT5378 Utility Trailer Sales REFERENCE MBR. <br /> 12608 5 Harlan Rd 73224500 <br /> SFrVC WEEK: 2017-12 <br /> Lathrop CA 95330-8744 <br /> SRVC GATE: 03/23/17 09:33 <br /> PHONE <br /> RILL To CUSTOMER# BILL TO ADDRESS31-636-8017 <br /> UTS174 Utility Trailer Sales <br /> 12608 5 Harlan Rd <br /> Lathrop CA 95330-8744 <br /> PURCHASE Wt0ER3 PHONE 831-636-8017 <br /> TAX E%tMPT✓! <br /> SERVICE/ PRODUCT/SERVICES <br /> PRODUCT QTY UNIT PRICE TAT[ CHARGE TOTAL <br /> 10ISG FEL SERVILE/SFOP NON-PHt4 1.000 145.0400 U.00 145.00 <br /> SERVICE TERM 9 MEEK <br /> 66636 OSLO OIL RECYCLE CRANKCAS 330.000 0.2900 0.00 95.70 <br /> SERVICE TERN 9 WEEK <br /> HALOGEN /CLOR-O-TECl LEST RESULT PASS: Ppm s 1000 <br /> TOTAL SERVICE/PRODUCTS - ----145..2900----- 0.00 ---240.70 <br /> TOTAL CHARGE 244.70 <br /> CREDITS 0.00 <br /> TOTAL DUE -` ~~240.70 <br /> �- Sii3uflFrc: <br /> CUSTOMER /GENERATOR: Utility Trailer Sales adrian <br /> r1 <br /> lrrr� ' <br /> TRANSPORTER: Joseph R Lima lr <br /> CSG Sk-Sst-tm-01 30seph R Lina Ir 03/23/17 09;34 PAGE 2 <br /> SHIPPING DOCUMENT <br /> CE NBR. <br /> CUSTOMER41/GENERATOR; UT637S Utility Trailer Sales REFEFF7IZ1446060 <br /> 0 <br /> 12603 5 Harlan Rd 732 <br /> Lathrop CA 95330-8744 SRVC DATE: 03/23/17 <br /> PHONE 831-636-8017 CONTACT NAME; Utility Trailer Sa <br /> 4LNERATOR USLPA ID. CAL000t89727 GENERATOR STATE <br /> MANIFESTO-. 0059419515KS FORM CO; 10 SHIP■ 22"408S2 <br /> FRANSFORTER 1 TM000031205 SAFETY-kLEEN SYSTEH5, INC. <br /> _ S050 SALIDA BLVD <br /> SALIOA,CA. 95)68 <br /> 1RANSPORTER 2 TNSP PHONE: 209445-1011 <br /> U1 DOI ULS(R-Lp"ON (1HCLUO'M PROPtR SO4PPIM NAMt, HAZAHO CLAS], AND IO) <br /> NOH-RCRA HAZARDOUS WASTE, LIQUID <br /> "E0 OIL) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 221 <br /> 'TOTAL CONT 1 TYPE T1• WT/VUL G SKOOT 11249 <br /> LN71: 11032.4%438/ S7: BULK VOLUMt CUNFAINER Q1Y: $30 PROF# 1S6U17 LA <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> SAFETY-KLEEN OF CALIFORNIA <br /> 6380 SMITH AVE. <br /> NEWARK CA 94560 , <br /> TSD PHONE: S10-795-4400 <br /> FACILITY USEPA 10 NO CAD986887418 <br /> FACILITY STATE ID No <br /> If high risk, source, rep. certifies drat load specific PCB &5 i 1 iLon <br /> testing have been eorn4,leted priorLa portp;ng this load. <br />