Laserfiche WebLink
CSG SK-SSL-BOX-25 Bruce Maeberry 04/13/17 16:30 PAGE 1 <br /> Safety-KIeen Systems, Inc. <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5140 <br /> 24 HR EMERGENCY: 600-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBP. <br /> CUSTOMER# KI18372 Kia Country 73344396-1701600599 <br /> 1515 N Main St SAVO WEEK: 2017-15 <br /> Manteca CA 95336-3243 SRVC DATE: 04/13/17 16:29 <br /> PHONE 209-239-6203 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> KI18372 Kia Country <br /> 1515 N Main St <br /> Manteca CA 95336-3243 <br /> PHONE 209-239-6203 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 90837 MODEL 90 W/2387 6 6365 1.000 109.0000 8.99 117.99 <br /> SIN 13130188 TAG 00001170SK13130188 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 3324 DRUM, 16 GL BLACK STEEL 0 1.000 39.0000 3.22 42.22 <br /> SERVICE TERM 8 WEEK <br /> 3345 DRUM, 30 GL BLACK STEEL 0 1.000 49.0000 4.04 53.04 <br /> SERVICE TERM 12 WEEK <br /> 3363 DRUM,55 GAL FOR O.F. 2.000 10.0000 0.00 20.00 <br /> SERVICE TERM 24 WEEK <br /> 83383 DRUM,55 WASTE O.F. 2.000 25.0000 0.00 50.00 <br /> SERVICE TERM 24 WEEK <br /> 944507/ <br /> 875121 LCCRQ 30GL LP AEROSOLS FO 1.000 185.0000 0.00 185.00 <br /> SERVICE TERM 12 WEEK <br /> # CONTS: 1 TSDF: SJ MANIFEST#: 13803 FORM CD: SL SHIP# 222131575 <br /> CNT#: 170410362342 QTY: 10 WT/VOL P PROF# 944507 SKDOT 7572211 <br /> 1247499/ <br /> 875001 FBI-LQD FOR FUEL 30GL 1.000 150.0000 0.00 150.00 <br /> SERVICE TERM 8 WEEK <br /> A CONTS: 1 TSD£: SJ MANIFEST4; 005946605SKS FORM CD: US SHIP# 222131582 <br /> CNT#: 170410362335 QTY: 20 WT/VOL P PROF# 1247499 SKDOT 7837121 <br /> 100001 FEE, FUEL SURCHARGE 1.000 0.0000 0.00 0.00 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 2.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 567.0000 16.25 618.25 <br /> TOTAL CHARGE 618.25 <br /> CREDITS 0.00 <br /> '-------------- <br /> TOTAL DUE 616.25 <br /> UNPAID BALANCE THIS RECEIPT 618.25 <br /> Machine clean and good condition? Yes <br /> Lamp Assembly Condition Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Local Phone No. Sticker Affixed to Machine Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br />