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1 <br /> 1 PAGE 1 <br /> CSG SK-SSL-BOX-24 I j <br /> Safety-K1een Systems I I' <br /> S PO Box 7170 <br /> Pasadena,CA <br /> 91109-7170 REFERENCE MBR. <br /> 794119206-1901122072 <br /> TR2422S Tracy Public Schaal gist SRVC WEEK: 2019-14 <br /> CUST0b1ERg 1975 W Lowell Rve SRVs DATE, 04/05/19 <br /> Tracy CA 95376-2238 <br /> PRONE 209-831-5015 <br /> LL TO CUSTOMER& RILL TO <br /> &I <br /> -M-2445145f Tracy Publilit school gist <br /> 1875 V7 LOWell Ave <br /> Tracy CA 95376-2291 TAX EXEMPT�F I <br /> PRONE 209-830-3216 <br /> PURCRASE GROW }9-00093 SERVICES <br /> PRODUCT/S"""S <br /> , <br /> UNIT PRICE TAX CHARGE �CETWD <br /> SFI(VICE/ QTY 56.60 742.60 <br /> PRODDCT 1.000 656.'5400 0 O0O <br /> 6365 00 SPENT/ <br /> 81983 Ma%L 31.gSIN 17028120 TAG 0000107 SCANNED YES CLEAN 4 - -_---„,._ .--____-- J 02 <br /> 201 n <br /> SERVICE TERM 8 WEEK __.._------ ^- 56.60 - 742.60 I jJ `+� <br /> 686.0000 i 7;. <br /> TOTAL SERVICE/PR0gl1C7S TOTAL CHARGE 0 7412.60 na n cz al se <br /> _ <br /> ----------- <br /> I -F �lJJ ��5' <br /> CREgITS <br /> 74Z.6O <br /> TOTAL DUE <br /> ? <br /> ii <br /> 742.60 <br /> UNPAID IlAtANCE THIS RECEIPT 3I' <br /> i <br /> pOod condition? Yes ` i I ..,,..An.,m..z.,.._....K.... P�w,..-.. .�,..�.�,,..a.d......,....,,..„ <br /> Machine clean art Condition Yes <br /> Lamp Assembly ib}e? Yes <br /> Decals in place and leg j {� �3�1. <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed” Yes <br /> l#achlne properly grounded? Yes <br /> r,, <br /> Local Phone No. Sticker Affixed to Machine Yes (j OCa1i9.i''. <br /> spent solvent meets acceptance criteria? Yes 1'`�-__ <br /> APPIi-o <�l: <br /> GENERATOR 5TATU5 <br /> 0„220 lbs/month er1Y �'��_ � µ. ...- <br /> the above-named materials areproperly <br /> t 3 ar <br /> e <br /> in <br /> p <br /> nfk the C led. and he <br /> stomer cert d aad lake ations of t <br /> cu marke re ul ; <br /> classified, Packaged' to the applicable g <br /> far trtusportat4rn according ii na material change has in the VCocess <br /> Department of Transportation � ) the terve referenial or ced J <br /> either in the characteristics °andh(iii)te/satnrn y the above charges <br /> e e.atinn the waste/material -y- - a�re4 <br /> NA <br /> Ig <br />