Laserfiche WebLink
0 <br />BRANCH SSL CSG 60 Joseph Lima Jr 01/22/14 14:22 PAGE 1 <br />Safety-KIeen Systems, Inc. <br />2600 N Central Expy, Suite 400 <br />Richardson, TX 75080 <br />CORPORATE: 800-669-5740 <br />24 HR EMERGENCY: 800-468-1760 (Safety-K1een( <br />2095451011 <br />CUSTCMER(I MC22499 Mcneilus Truck <br />3100 N Ad Art Rd <br />Attn: Ralph Cortez <br />Stockton CA 95215-2216 <br />PHONE 209-931-4282 <br />BILL TO CUSTOMERN BILL TO ADDRESS: <br />MC22499 Mcneilus Truck <br />3100 N Ad Art Rd <br />Attn: Ralph Cortez <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />REFERENCE NBR. <br />62811525 <br />SRVC WEEK: 2014-3 <br />SRVC DATE: 01/22/14 14:20 <br />PURCHASE ORDER# <br />TAX EXEMPTION NBR <br />PRODUCTISERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT <br />QTY UNIT -PRICE <br />TAX <br />. CHARGE <br />66647 <br />USED OIL <br />NO CHARGE (NON P <br />160.000 0.0000 <br />0.00 <br />0.00 <br />SERVICE <br />TERM 24 MEEK <br />HALOGEN <br />/ CLOR-D-TECT TEST <br />RESULT PASS: PPM < 1000 <br />100001 <br />FEE, FUEL <br />SURCHARGE <br />0.000 0.0000 <br />0.00 <br />0.00 <br />TOTAL <br />SERVICE/PRODUCTS <br />------------------------------------------ <br />0.0000 <br />0.00 <br />0.00 <br />TOTAL CHARGE 0.00 <br />CREDITS 0.00 <br />------------- <br />TOTAL DUE 0.00 <br />UNPAID BALANCE THIS RECEIPT 0.00 <br />If high risk source,.SK rep. certifies that load specific PCB & <br />Silicon testing have been completed prior to pumping this load. <br />GENERATOR STATUS <br />CESQG: Vehicle <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-materiai change has occurred <br />either in the characteristics of the waste/material or in the process <br />generating 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 agrees that it <br />will not introduce any substance into the solvent or aqueous cleaning <br />solution, including 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 />Page 38 <br />111E C E I V E V <br />AUG 0 7 2015 <br />ENVIRONMENTAL <br />tq'=A'YQ r1COA0-rAACAir <br />