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END REPORT <br /> CSG SK—SSL—BOX-24 Bulfer,Joshua 11-10-202010,17 PAGE 1 <br /> Safety--Kleen Systems, Inc. <br /> 42 Longwater Dave <br /> Norwell,MA 02061 <br /> i CORPORATE;800-669-6740 <br /> 24 HR EMERGENCY:800-468-1760(Safety—Kleen) <br /> 2095461011 <br /> REFERENCE NBA. 1P <br /> CUSTOMER# TR34020 Tracy Nissen 84692300—2005685528 1 <br /> 3196 Neglee Rd <br /> Tracy CA 95304-7319 ERVC WEEK:2020-46 <br /> PHONE 510-285-7979 ERVC DATE:11-10-2020 <br /> BILL TO CUSTOMER# SILLTOADDRESS: <br /> TR34020 Tracy NI seen <br /> 3196 Naglee Rd <br /> TresyCA 95304-7319 <br /> PHONE 510-235-7979 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCTISERVICES <br /> SERVICES/ TOTAL <br /> PRODUCT OTY UNIT PRICE TAX CHARGE <br /> 8003969 DRUM,55 GL 2,0 49.00 8109 106.09 <br /> BLACK STEEL ON <br /> RECON <br /> SERVICE TERM 12 WEEK <br /> 8764601 <br /> 1269404 GNU—NON 2,0 185.00 0.00 370.00 <br /> HAZARDOUS SOLID <br /> 65GL <br /> i SERVICE TERM 12 WEEK <br /> i #CONT8:2 TSDF:BL MANIFEST#:007770424SKS FORM CD:US SHIP#232805482 <br /> CNT#201104437476 OTY:1504YTNOL P PROF#1269404 SKOOT#7843936 <br /> �. CNT#201104437477 OTY:1601YTNOL P PROF#1269404 SKDOT#7843935 <br /> 10003D RECOVERY FEE 110 23.40 1.93 25,33 <br /> ---`—^TOTAL SERVICE/PRODUCTS--r----^—;257, 5---------` --------. <br /> 1.42 <br /> TOTAL CHARGE 501,42 <br /> CREDITS 0,00 <br /> —TOTAL DUE — 501.42——— <br /> { --- ----- <br /> ------------- <br /> UNPAID BALANCE THIS RECEIPT 501 A2 <br /> I <br /> GENERATOR STATUS <br /> 0-220lbslmonth <br /> 1 (h dww ceitiflesthat I)the I have eeteblished a program to reduce the v6lua <br /> above—narned materials we properly or quant4 and toxicity of the harerdouswasle <br /> cfeolfed,packaged,marked and to the degree 1a be econolatceOy practicable.labeled, <br /> end ore In proper condition for transporta0on according to the applicable raguladons of <br /> the Deparlwt of Twoports0on IQ no materlat change has occurred either In the <br /> characteristics of the waetefmatarld or In the process ganers6ng the wagalmelerld,and <br /> III)the above ralerenced Oenaratar Slatus Is carrecL Customer egreastD pay the above <br />