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BRANCH 7142 CSG 24 David Buxtc * 01/08/13 15:52 PAGE 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Expy, Suite 400 <br />Richardson, TX 75060 <br />B00-669-5740 <br />209-545-1011 <br />REFERENCE NBR. <br />CUSTOMERH 10007042 MCNEILUS TRUCK 59881336 <br />3100 N Ad Art Rd SRVC WEEK: 2013-1 <br />Stockton CA 95215-2218 SRVC DATE: 01/08/13 15:51 <br />PHONE 209-931-4282 <br />BILL TO CUSTOMER# BILL TO ADDRESS: <br />0010007042 MCNEILUS TRUCK <br />3100 N Ad Art Rd - <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />PURCHASE ORDER# TAX EXEMPTION NBR <br />PRODUCT/SERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT <br />QTY <br />UNIT PRICE <br />TAX <br />CHARGE <br />12306/ <br />875460 <br />LANDF NON USDOT HAZMAT, N <br />1.000 <br />218.4000 <br />0.00 <br />218.40 <br />SERVICE TERM 24 WEEK <br />4 CONTS: <br />1 TSDF: 7401 MANIFESTO: <br />003324090SK5 <br />FORM CD: US SK <br />SHIPH <br />209241422 <br />CNTN: <br />130102802622 QTY: 400 <br />WT/VOL P <br />PROFILE,: 012306 <br />SKDOT 400056 <br />706 <br />PAIL, 5.5 GL BLACK POLY W <br />1.000 <br />11.0000 <br />0.86 <br />11.88 <br />876190 <br />SPECIFIC PROCESS METAL DR <br />3.000 <br />56.0000 <br />0.00 <br />168.00 <br />SERVICE TERM 24 WEEK <br />100001 <br />FEE, FUEL SURCHARGE <br />1.008 <br />16.4500 <br />1.32 <br />17.77 <br />TOTAL SERVICE/PRODUCTS <br />-----'-----------------------------`------ <br />301.8500 <br />2.20 <br />416.05 <br />TOTAL CHARGE <br />416.05 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />--------------- <br />416.05 <br />UNPAID BALANCE THIS RECEIPT 416.05 <br />GENERATOR STATUS <br />0-220 lbs/month <br />Customer certifies that (i) the above-named materials are properly <br />classified, Packaged, marked and labeled, and are in proper condition <br />for transportation according to the applicable regulations of the <br />Department of Transportation and (ii) no material change has occurred <br />either in the characteristics of the waste/material or in the process <br />generatinq the waste/material. Customer agrees to pay the above <br />charges and to be bound by the terms and Conditions (1) set forth in <br />(a) the General Terms and Conditions provided separately to Customer <br />or (b) any SK agreement signed by Customer and SK, and (2) <br />incorporated herein by reference. Unless otherwise indicated in the <br />payment received section, SK is authorized to charge Customer's <br />account for this transaction. Customer certifies that the individual <br />signing this Service Acknowledgement is duly authorized to sign and <br />bind Customer. The following provision is applicable to Safety-Kleen's <br />parts cleaner and paint gun cleaner services: Customer aqrees that it <br />will not introduce any substance into the solvent or aqueous cleaning <br />solution, includinq without limitation any hazardous waste or <br />hazardous waste constituent, except to the extent such introduction is <br />incidental to the normal use of the machine. Customer further agrees <br />that it will not clean parts/paint guns that have been contaminated <br />with or otherwise introduce polychlorinated biphenyls (PCB's), <br />herbicides, pesticides, dioxins or listed hazardous waste into the <br />solvent or aqueous cleaning solution. Safety-Kleen has the capacity <br />and is permitted to accept, store, and/or reclaim the spent parts <br />washer solvent; paint thinners, solvents and paints generated by <br />customer; or dry cleaninq filter cartridges, powder, and still <br />residues containing perchloroethylene, petroleum naphtha, or <br />tri flurotr ichloroethane dry cleaning solvents. Safety-Kleen and <br />customer agree that this agreement is Intended to satisfy the <br />requirements of 40 CFR 262.20(e). IN THE EVENT OF AN EMERGENCY CALL 24 <br />HR EMERGENCY 4 1-865-468-1760 (Safety-Kleen Contract H 94138) <br />�,Oew,oe <br />CUSTOMER 1 GENERATOR: Ralph Cortez <br />LAST PAGE <br />Page 17 <br />0 <br />RECEIVE <br />AUG 0 7 2015 <br />ENVIRONMENTAL <br />NFA,T,a ")PR§ riACAIT <br />