Laserfiche WebLink
/i6 ESCAMILLA,OAVID U613DO8 15:59 PAUL I E <br /> e <br /> Safety -Klee <br /> 54B Legacy Dr. c <br /> f Cluster II, Building 3 <br /> Plano, Texas 75024 <br /> 209-545-1011 t <br /> REFERENCE NDR }, <br /> ER# 3123360 TRACY .c 0036840711dP <br /> 2E TAX: 0.07750 3460 LEE SRVC WEEK: 68-27 m- <br /> TAX: 0.00000 SRVC DATE: 06130!08 15:52 N <br /> ADUCT TAX: 0.07750 TRACY CA 95304 ; <br /> ,NONE 209-835-6528 3 <br /> PURCHASE ORDER# 58321 TAX EXEMP1ION NBR: <br /> PRODUCT/SERVICES SERVICE! TOTAL <br /> PRODUCT [TTY UNIT PRICE TAX LHARGE <br /> 100009 FUEL FEE SURCHARGE 1 19.4300 1.51 20.94 <br /> 90835 MODEL 90 WI2383 & 6317 1 208.3700 15.15 224.52 <br /> SIN 11288 TAG T000000009020%58 CLEAN 5 SPENT 0 <br /> SERVICE TERM 8 <br /> 92383 2383 PUMP ASSEMBLY 1 0.0000 0.00 0,00 Rig <br /> SIN 87054298 CLEAN 0 SPENT 0 <br /> 92383 22338831PPUUMP ASSEMBLY 1 0.0000 0.00 0.00 <br /> SIN 87054118 CLEAN 0 SPENT 0 E <br /> SERVICE TERN 8 u <br /> 90835 MODEL 90 W12363 8 6317 1 208.3700 16,15 224.52 c <br /> SIN 50879 TAG 10000000XX9020965r CLEAN 5 SPENT 0 <br /> SERVICE TERM 8 °' <br /> r <br /> TOTAL SERVICE/PRODUCTS 436,1700 33.81 469.96 <br /> a <br /> USLPA TIIAN`!:,UR U 1 IXRDDD050930 GENERA(OR 10 LAR000118182 <br /> USEPA THANSPORIER 2 GENERATOR STATE b <br /> MANIFEST TRACKING # 001216698SKS FORM CODE 1D <br /> 3 <br /> US DUI LIESCRIPIION (INCLUOING PWPLII SHIPPINL NAML, HAZARD CLASS, ANt1 IU 3 <br /> NON-RCRA HAZARDOUS WASTE, LIQUiD 3 <br /> (AQUEOUS PARTS WASHER SOLUTION) <br /> TOIAL CONT 2 TYPE DM TTL €TTY 32 UNIT WIIVOL G SNOUT 14941 <br /> CNT# 80625009729 QTY 16 WASTE CODE CA 134 CA CAT G <br /> CNT# 60625009730 QTY 16 WASTE CODE CA 134 <br /> DESIGNATED FACILITY NAMEIA17DRESS: <br /> SAFETY-KLEEN SYSTEMS, INC. <br /> 6000 88TH STREET <br /> SACRAMENTO CA 95828 �.1., <br /> USEPA ID NO CA0000084517 TOTAL CHARGE 469.98 E <br /> STATE 10 NO WASTE MIN 0.00 u <br /> TOTAL DUE 469.98 a <br /> UNPAID BALANCE THIS RECEIPT 469.98 <br /> Machine clean and good condition? Yes a+ <br /> a <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes q <br /> N <br /> Ernergency closing of lid unobstructed? Yes 3 <br /> Machine properly grounded? Yes It <br /> Spent solvent meets acceptance criteria? Yes It <br /> Prop 65 warning (Calf, only)? Yes <br /> GENERATOR STATUS 220 - 2200 Ibslmonth <br /> The generator has estabIislurd a pruyram to reduce the vuIcucue ur m <br /> c��rnotily and luxicity of the hazarduos waste to the degree, as determine-d ¢ <br /> by the generator, to be econuoically practicable. <br /> N <br /> Custau�er certifies that (i) the abuve-rurmed ocaterials are properly A <br /> classified, pa,laued, urarked and labeled, and are in proper condition <br /> fur ttansportat+on according to the applicable tegulatiuns of the <br /> Department of Transportation dax (ii) cru material c.Irarnr has occurred <br /> either in the character istir-s of ttre wastelrnater ial uF in tite Process E <br /> gerieratiny the wastelmaterial. Custmer agrees to pay the above v <br /> charges and to to bound by the terror and conditions (1) set furth io (a) <br /> the General Terms aril Conditions pruvided separately to Custcvrorr or <br /> (b) airy SK agreerwnl sigmd by Custuirer and Sl(, and (2) incorporated d <br /> herein by reference. Unless utherwise indicated in the payurent <br /> received section, Sl( is aullrurieed to charye Customer's accuurtt for this <br /> traasactiun. Customer cer of irs that llte itxfividual signing this Service <br /> Atlrnrwledyement is duly authorized to sign and bind Costumer. a <br /> Thr: followrncy provision is applicable to Safely-I(leen's parts cleaner and 14- <br /> paint gull cleaner services: Cu,[rn4el ayrees [fiat it will not introduce any N <br /> substance intu [lir..- srrlvrrrt nr a<aueoua c1ea2i_l. lutrurt_ irr0u4.irry wiThOut <br /> Cub U.- <br />