Laserfiche WebLink
T!P2171 '1P501 �G 25 FL(PFS,PATRICK 71128105 12:54 OME t <br /> -kfety-Kleen <br /> 540u Legacy Dr. <br /> Cluster 11, Building 3 <br /> Plano, Texas 75024 <br /> 209545.1011 <br /> REFERENCE NBA <br /> LUSTOER# 2220819 END OF THE L:N€ AUTO RPR 0028112847 <br /> SERVICE TAB: 0.07750 200 C04451E #101 SRVL DANE: 05-04 <br /> 8105 12:50 <br /> CAIS TAX: 0.00000 S95240 <br /> PRODUCT TAX: 0.07M LMI CA <br /> PHONE 209-355-6077 <br /> PURMASE ORDERP TAX EXEMPTION NOR: <br /> PRODUCT/SERVICES TOTAL <br /> PRODUCT SMICE/ OTY UNIT PRICE TAX CHARGE <br /> SER IAL# <br /> lOgoog FLEL FEE SYGIARGE 1 8.1500 0.00 8.15 <br /> 90830 MODEL 90 W12370 8 6317 1 216.0000 16.74 232.74 <br /> 21025 CLEM 5 SPENT 0 <br /> SEFNICE TERN 12 <br /> TOTAL SERVILEIPRODUCTS 224.1500 16.74 240.89 <br /> USEPA TRANSPORTER 1 T11R800050930 GENERATOR USEPA CAL0002416B6 <br /> USEPA TRANSPORTER 2 GENERATOR STATE <br /> MANIFEST DOC #24111115 FORM CODE 1D <br /> UIS HIT DESCRIPTION (INCLUDING PROPER SHIPPING NATE. HAZARD CLASS, AM 10 <br /> USED CLEANING C0141PO#D5, N.O.I.B.N. <br /> LIQUID (ROT US10T OR USEPA REGULATED) <br /> AQE0115 PMTS WASHER SOLUTION (8.311GAL) <br /> TOTAL CONT 1 TYPE O1 TTL OR 25 UNIT WT/VOL G SNOUT 941 <br /> CONTAINER#50101OB5625 OTY 25 WASTE 011E CA 134 <br /> DESIGNATEDFACILITYNANEIAmBESS: <br /> Sg50TSALILLA BLVDTI?5. INC. <br /> 5S0A5LUID5A CA 95368 <br /> USEPA ID NO CATOD0613968 TOTAL CHARGE 240.89 <br /> STATE 10 NO CAT000613968 WASTE MIN 0.00 <br /> TOTAL DIE -------240.89 <br /> UNPAID BALANCE THIS RECEIPT 240.89 <br /> Na:hine clean and good condition? Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed7 Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> Prop 65 warning (Calf. only)? Yes <br /> GENERATOR STATUS 0 - 220 Ibslmonth <br /> The generator has established a program to reduce the volume on <br /> quantity and toxicity of the hazardous waste to the degree, as determined <br /> by the generator, to be economically practicable. <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 tie <br /> Department of Transportation and (ii) no material change has occurred <br /> either in the characteristics of the waste materials or in the process <br /> generating the waste male,ials. Customer agrees to pay the above <br /> charges and to be loud by the terms and condi)ions (1) set forth in (a) <br /> The General Terns and Conditions provided separately to Customer or <br /> (b) any SK agreement signed by Customer and SK, and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SK is authorized to charge Customer's account for this <br /> Lnansaction. Customer certifies that the individual signing this Service <br /> Ack now ledgemenl is duly authorized to sign and bind Customer. <br /> TI* following provision is applicable to Safely-Kheeo's parts cleaner and <br /> paint gun cleaner services: Customer agrees that it will not introduce any <br /> substance into lie solvent or aqueous cleaning solution, inoluling without <br /> limitation any hazardous waste or hazardous waste constituent, except <br /> To lie extent such introduction is incidental to the normal use of the <br /> machine. Customer further agrees that it will not clean partslpaint guns <br /> Thal have been contmminated with or otherwise introduce polychlorinated <br /> biplenyhs (PCB's), herbicides, pesticides, dioxins or listed hazardous <br /> waste into the solvent or aqueous cleaning solution. <br /> IN THE EVENT OF M EERGDEY CALL 1-800-468-1760 (24 hours) <br /> ..;P& .- —,, OJ-� <br />