COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

BRANCH 7142 CSG 24 David Euxt* 01/07/13 12:45 PAGE 1 Safety-K1een Systems, Inc. 2600 NCentral Expv, Suite 400 Richardson, TX 75080 800-669-5140 _ 209-545-1011 REFERENCE NRR. CUSTOMER# 10007042 MCNEILUS TRUCK 59875279 3100 N Ad Art Rd SRVC WEEK: 2013-1 Stockton CA 95215-2216 SRVC DATE: 01/07/13 12:45 PHONE 209-931-4282 BILL TO CUSTOMER# BILL TO ADDRESS: 0010007042 MCNEILUS TRUCK 3100 N Ad Art Rd Stockton CA 95215-2218 PHONE 209-931-4282 PURCHASE ORDERP TAX EXEMPTION NBR PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 12400/ 876530 CAL UNIVERSAL AEROSOLS 1.000 305.0000 0.00 385.00 SERVICE TERM 24 WEEK # CONTS: 1 TSDF: 7221 MANIFESTN: 88211 FORM C0: SL SK 5EIP# 209233373 CNT4: 130102811066 OTY: 75 WT/VOL P PROFILE: 012400 SKDOT 19038 12306/ 875460 LANCE NON USDOT HAZMAT, N 1.000 218.4000 0.00 218.40 SERVICE TERM 24 WEEK # CONTS: 1 TSDF: 7401 MANIFEST#: 003324089SKS FORM CD: US SK SHIPS 209233384 CNTN: 130102802621 QTY: 175 WT/VOL P PROFILE: 012306 SKOOT 400056 3369 DRUM, 55 GL BLACK STEEL O 1.000 87,0000 6.96 93.96 SERVICE TERM 24 WEEK 63383 DRUM,55 WASTE O.F. 1.000 75.0000 0.00 75.00 SERVICE TERM 24 WEEK 3383 DRUM,55 GAL FOR O.Y. 1.000 71.0000 0.00 71.00 SERVICE TERM 24 WEEK 3230 TAX HANDLING N/C DRUM DROP 30 1.000 0.0000 0.00 0.00 100001 FEE, FUEL SURCHARGE 1.000 16.7800 1.34 18.12 ----------------------------------------- TOTAL SERVICE/PRODUCTS 853.1800 8.30 861.48 TOTAL CHARGE B61.48 CREDITS 0.00 TOTAL DUE -------861_48 UNPAID BALANCE THIS RECEIPT 861.48 GENERATOR STATUS 0-220 lbs/month Customer certifies that (i) the above-named materials are properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation and (Ii) no material change has occurred either in the characteristics of the waste/material or in the process generating the waste/material. Customer agrees to pay the above charges and to be bound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise indicated in the payment received section, SK is authorized to charge Customer's account for this transaction. Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind Customer. The following provision is applicable to Safety-Kleen's parts cleaner and paint gun cleaner services: Customer agrees that it will not introduce any substance into the solvent or aqueous cleaning solution, includinq without limitation any hazardous waste or hazardous waste constituent, except to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it will not clean parts/paint guns that have been contaminated with or otherwise introduce polychlorinated biphenyls (PC9's), herbicides, Pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has the capacity and is permitted to accept, store, and/or reclaim the spent parts washer solvent; paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing pecchlorcethylene, petroleum naphtha, or triflurotrichlorcethane dry cleaning solvents. Safety-Kleen and customer agree that this agreement is intended to satisfy the requirements of 40 CFR 262.20(e). IN THE EVENT OF AN EMERGENCY CALL 24 HR EMERGENCY S 1-800-468-1760 (Safety-K1een Contract N 94138) xCo2repz CUSTOMER / GENERATOR: Ralph Cortez Page 20 • S�ECEIVE AUG 0 7 2015 ENVIRONMENTAL.