COMPLIANCE INFO 2003 - 2015 - Laserfiche WebLink

Home Browse Search

:H 718501 CSG 24 BLACK,DAAMON 08109104 10:41 PAGE 1 Safety-Kleen 5400 Legacy Dr. Cluster II, Building 3 Plano, Texas 75024 209-545-1011 REFERENCE NBR )MER# 2906934 BOBS GERMAN AUTO REPAIR 0026800725 ICE TAX: 0.07750 2230 N WILSON WAY SRVC WEEK: 04-32 TAX: 0.00000 SRVC DATE: 08/09104 10:24 JCT TAX: 0.07750 STOCKTON CA 95205 209-465-2521 TASE ORDER# TAX EXEMPTION NBR: PRODUCT/SERVICES =RV ICE/ TOOUCT TIAL# 100009 FUEL FEE SURCHARGE 94830 MODEL 94 W12370/6317 1361 CLEAN 2 SPENT 0 SERVICE TERM 8 TOTAL SERVICE/PRODUCTS TOTAL QTY UNIT PRICE TAX CHARGE 1 8.1500 0.00 8.15 1 146.5000 11.35 157.85 154.6500 11.35 166.00 i TRANSPORTER 1 TXR(100050930 GENERATOR USEPA CAL000271458 a TRANSPORTER 2 GENERATOR STATE --EST DOC # 23695158 FORM CODE 10 )I ULSCRIPTION (INCLUDING PROPER SHIPPING NAME. HAZARD LLASS, AND IU CLEANING COMPOUNDS, N.O.I.B.N. ID (NOT USDOT OR USEPA REGULATED) )US PARTS WASHER SOLUTION (8.3#GAL) CONT 1 TYPE OM TTL QTY 15 UNIT WT/VOL G SKOOT 941 CONTAINER# 40717079341 OTY 15 WASTE CODE CA 134 iNATED FACILITY NAMElAODRESS: TY-KLEEN SYSTEMS, INC. SALIDA BLVD )A IM ID NO CAT000613968 ID NO CAT000613968 BRANCH 718501 CSG 24 BLACK,DAAMON 10/04104 12:58 PAUL i Safety-Kleen 5400 Legacy Dr. Cluster II, Building 3 Plano, Texas 75024 209-545-1011 REFERENCE NBR CUSTOMER# 2906934 BOBS GERMAN AUTO REPAIR 0027235168 SERVICE TAX: 0.07750 2230 N WILSON WAY SRVC WEEK: 04-40 COMS TAX: 0.00000 SRVC DATE: 10104/04 12:49 PRODUCT TAX: 0.07750 STOCKTON CA 95205 PHONE 209-465-2521 PURCHASE ORDER# TAX EXEMPTION NBR: PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE SERIAL# 100009 FUEL FEE SURCHARGE 1 8.1500 0.00 8.15 94830 MODEL 94 W/237016317 1 146.5000 11.35 157.85 94016361 CLEAN 2 SPENT 0 SERVICE TERM 8 TOTAL SERVICE/PRODUCTS 154.6500 11.35 166.00 USEPA TRANSPORTER 1 TXR000060930 GENERATOR USEPA CAL000271458 USEPA TRANSPORTER 2 GENERATOR STATE MANIFEST DOC # 23703873 FORM CODE 1D US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID USED CLEANING COMPOUNDS, N.O.I.B.N. LIQUID (NOT USDOT OR USEPA REGULATED) UEOUS PARTS WASHER SOLUTION 1,8.3#GAL) TOTAL CONT 1 TYPE OM TTL QTY 19 UNIT WTIVOL G SKOOT 941 CONTAINER# 40911080976 QTY 19 WASTE CODE CA 134 DESIGNATED FACILITY NAME/ADDRESS: SAFETY-KLEEN SYSTEMS, INC. 5050 SALIDA BLVD CA 95368 SALIDA CA TOTAL CHARGE 166.00 USEPA ID NO CAT000613968 TOTAL CHARGE WASTE MIN 0.00 STATE ID NO CAT000613%8 WASTE MIN TOTAL DUE 166.00 TOTAL DUE IT PAID CHECK 1171 156.00 UNPAID BALANCE THIS RECEIPT 0.00 ne clean and good condition? Yes Is in place and legible? Yes rte link installed? Yes lency closing of lid unobstructed? Yes !ne properly grounded? Yes i solvent meets acceptance criteria? Yes 65 warning (Calf. only)? Yes IATOR STATUS 0 - 220 lbs/month leneralot has established a program to reduce the volume or Jty and toxicity of the hazardous waste to the degree, as determined ie generator, to be economically practicable. rmer certifies that (i) the above-named materials are properly ified, packaged, marked and labeled, and are in proper condition ;ransportation according to tl>e applicable regulations of the amen( of Transportation and (ii) no material change has occurred :r in the characteristics of the waste materials or in the process aling the waste materials. Customer agrees to pay the above Les and to be bound by the terms and conditions (1) set forth in (a) reneral Terms and Conditions provided separately to Customer or ury SK agreement signed by Customer and SK, and (2) incorporated in by reference. Unless otherwise indicated in the payment ved section, SK is authorized to charge Customer's account for this action. Customer certifies that the individual signing this Service rwledgement is duly authorized to sign and bind Customer. IE EVENT OF AN EMERGENCY CALL 1-800-468-1760 (24 hours) SIGNATURE NAME: BOB GARCIA 95368 AMOUNT PAID CHECK 1286 166.00 UNPAID BALANCE THIS RECEIPT 0.00 Machine clean and good condition? Yes Decals in place and legible? Yes Fusible link installed? Yes Emergency closing of lid unobstructed? Yes Machine properly grounded? Yes Spent solvent meets acceptance criteria? Yes Prop 65 warning (Calf. only)? Yes GENERATOR STATUS 0 - 220 Ibslmonth 166.00 0.00 ------------- 166.00 The generator has established a program to reduce the volume or quantity and toxir.ily of the hazardous waste to the degree, as determined by the generator, to be economically practicable. Customer certifies that (i) the above-named materials are properly classified, packaled, 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 materials or in the process generating the waste materials. 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. IN THE EVENT OF AN EMERGENCY CALL 1-800-468-1760 (24 hours) SIGNATURE NAME: BRENDA GARCIA