Laserfiche WebLink
CSG SK -SSL -OIL -02 Miguel Onsurez 03/07/16 <br />15:50 PAGE 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Expy, Suite 200 <br />Richardson, TX 75080 <br />CORPORATE: 800-669-5740 <br />24 HR EMERGENCY: 800-468-1760 (Safety-kleen) <br />2095451011 <br />REFERENCE NBR. <br />CUSTOMER# KI18372 Kia Country <br />69734112 <br />1515 N Main St SRVC <br />WEEK: 2016-11 <br />Manteca CA 95336-3243 SRVC DATE: <br />03/07/16 15:49 <br />PHONE 999-999-9999 <br />BILL TO CUSTOMER# BILL TO ADDRESS: <br />KI18372 Kia Country <br />1515 N Main St <br />Manteca CA 95336-3243 <br />PHONE 999-999-9999 <br />PURCHASE ORDER# <br />TAX EXEMPT# <br />PRODUCT/SERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />66636 USED OIL NON-PREQUAL SERV 273.000 0.0000 <br />0.00 0.00 <br />SERVICE TERM 4 WEEK <br />HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br />10256 FEE, USED OIL COLLECTION CHARGE NPREQ 1.000 117.5000 <br />0.00 117.50 <br />--------------- __________________________ <br />TOTAL SERVICE/PRODUCTS 117.5000 <br />0.00 117.50 <br />TOTAL CHARGE 117.50 <br />CREDITS 0.00 <br />TOTAL DUE 117.50 <br />UNPAID BALANCE THIS RECEIPT 117.50 <br />If high risk source, rep. certifies that load specific FEB a Silicon <br />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 material 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. If Customer fails to make payment when <br />due, an amount equal to the lesser of (1) 1.5% per month (18% per <br />annum) or (Li) the maximum amount allowed by law, will be added to all <br />unpaid amounts outstanding. 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-Klean'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 wsafe 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 />