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CSG SK-SSL-BOX-23 Johnny Owens 09/13/18 11:35 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# GA15065 Gardner Trucking/Classic Sales In 77728038-1804239802 <br /> 2577 W Yosemite Ave SRVC WEEK: 2018-37 <br /> Manteca CA 95337-9641 SRVC DATE: 09/13/18 <br /> PHONE 209-249-3204 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> GA15065 Gardner Trucking/Classic Sales In <br /> 2577 W Yosemite Ave <br /> Manteca CA 95337-9641 <br /> PHONE 209-249-3204 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 83383 DRUM,55 WASTE O.F. 1.000 115.7300 0.00 115.73 <br /> SERVICE TERM 4 WEEK <br /> # CONTS: 1 TSDF: TPO MANIFEST#: 006391744SKS FORM CD: US SHIP# 226423489 <br /> CNT#: 180906584959 QTY: 50 WT/VOL P PROF# 156033 SKDOT 7872676 <br /> 3383 DRUM,55 GAL FOR O.F. 4.000 23.4800 0.00 93.92 <br /> SERVICE TERM 4 WEEK <br /> 90837 MODEL 90 W/2387 & 6365 1.000 313.3900 25.85 339.24 <br /> S/N 13130315 TAG 00001170SK13130315 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> # CONTS: 3 TSDF: SJ MANIFEST#: 006391743SKS FORM CD: US SHIP# 226423483 <br /> CNT#: 180906584951 QTY: 150 WT/VOL P PROF# 156023 SKDOT 14941 <br /> CNT#: 180906584952 QTY: 150 WT/VOL P PROF# 156023 SKDOT 14941 <br /> CNT#: 180906584953 QTY: 150 WT/VOL P PROF# 156023 SKDOT 14941 <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 4 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 898560 CARTRIDGE OIL FILTERS 55G 3.000 300.5600 0.00 901.68 <br /> SERVICE TERM 4 WEEK <br /> 100030 RECOVERY FEE 1.000 81.0000 6.68 87.68 <br /> 100065 E-Manifest Fee 1.000 10.0000 0.00 10.00 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 4.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 844.1600 32.53 1548.25 <br /> TOTAL CHARGE 1548.25 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 1548.25 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 1548.25 <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 /> Customer certifies that (i) the above-named materials are properly <br />