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-0O <br /> 77-1 <br /> • CnN � <br /> Oo <br /> 0 <br /> O <br /> - nom <br /> _ m > ::3 <br /> Cn N NO ) <br /> 1 01 <br /> O � <br /> Q J <br /> N <br /> 1 <br /> 00 <br /> Q <br /> CSL St Ssl IAN-Or Hen)e,n,n a Te,lo. r�/ob/tx tl.�i DACE x <br /> CD <br /> Safety-K7een SYs terns, Inc- <br /> Q- <br /> 0 O <br /> 11 M FRFRLF /�-sl0xx —. <br /> aODse REFERENCE 2'65 _ <br /> foe x ]8526128-1805902468 - <br /> 7229022 Tires 0irect SRVC WEEK: 2018-SO <br /> CVSTOMERt 221 North Wilson Wav SRVC DATE; 12/06/18 <br /> Stockton GO <br /> pClid1E915- <br /> 6609a-7010 <br /> BILL TO CUSTOMER# BILL 1D ADDRESS: <br /> 7123022Way <br /> Tires Direct n' <br /> 221 North Wilson <br /> Stockton PHONE5916-690-7010 <br /> TAX E%EMPTa � <br /> PURCHASE OROERB PRODUCT/SERVICES <br /> Toru <br /> SERVICE/ DTy UNIT PRICE TAX CHARGE <br /> PRODUCT <br /> 66636 USED OIL RECYRM CLE AUTOMOTI 370.000 0.2000 0.00 74. <br /> SERVICE TEaWEEK <br /> HALOGEN/CLOR-O-TECT TEST RESULT PASS:PPM<3000 <br /> 10256 FEE,DIL SERVICE/SlOP NON 1.000 D.000o o.ao 0.00 <br /> SERVICE TERM a WEEK <br /> ---------------------------------------'- <br /> TOTAL SERVICE/PRODUCTS 0.2000 O.00 74.00 <br /> TOTAL CHARGE 74 DO <br /> 0.00 <br /> CREDITS <br /> _ <br /> lI1PAID HALARCE RISS RECEIPT 74'00 <br /> If high risk s ep. <br /> crcertifies that lead specific PCB Z Silicon <br /> testing have beencompleted prior to pumping this load. <br /> GENERATOR STATUS <br /> CEW;vehicle <br /> Customer certifies that(i)the'hove-named met ial•are properly <br /> classified,back aged,marked end labeled, and a in Drgper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation(ii)n material change has o n red <br /> either in the characteristics of the waste/ma ial o n theprocess <br /> gentratina the waste/material, and(iii)the above referenced <br /> 6ent1ato1 status is co rer t.Customer agrees to pay the above charges <br /> and to be bound by then terms and conditions(1)set forth in (a) the <br /> General Terms and Conditions provided separately to Coat—or (b) <br /> any SK epreement signed by Customer and SN, and(2) incorporated <br /> herein 6y reference. unless otherwist indicated in the payment <br /> received section,SK is authorized to Charge Custer 's account for <br /> - this transaction.If Customer fails to make payment when due, an <br /> rroont eguel to the lesser of(1)1.59 per month(18Y per ennunD o <br /> (i i)the maximus amount allowed by law, will be added to all unpaid <br /> "i, <br /> oats outstanding.Customer certifies that the individual signing <br /> Service Acknewledpement is duly authorized to sign and bind <br /> to rt Stat ec'n.edses Bible f­xi. <br /> eat 6, <br /> CD <br /> C <br /> _ n <br /> O <br /> T Q <br /> V <br /> T <br /> C V <br /> 1 <br /> O O <br /> O <br /> 1 <br /> Y <br /> O <br /> N <br /> W <br />