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CSG SK-SSL-BOX-21 Brandon J Gaither 05/14/19 08:53 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 79810530-1902016612 <br /> 2577 W Yosemite Ave SRVC WEEK: 2019-19 <br /> Manteca CA 95337-9641 SRVC DATE: 05/14/19 <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#: 006961075SKS FORM CD: US SHIP# 228417803 <br /> CNT#: 190509271905 QTY: 150 WT/VOL P PROF# 156033 SKDOT 7872676 <br /> 3383 DRUM,55 GAL FOR O.F. 1.000 25.0100 0.00 25.01 <br /> SERVICE TERM 4 WEEK <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 5.000 53.1000 21.90 287.40 <br /> SERVICE TERM 4 WEEK <br /> 898560 CARTRIDGE OIL FILTERS 55G 5.000 150.0000 0.00 750.00 <br /> SERVICE TERM 4 WEEK <br /> # CONTS: 5 TSDF: SJ MANIFEST#: 006961076SKS FORM CD: US SHIP# 228417809 <br /> CNT#: 190417839393 QTY: 150 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> CNT#: 190509271955 QTY: 150 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> CNT#: 190509271956 QTY: 150 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> CNT#: 190509271957 QTY: 150 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> CNT#: 190509271958 QTY: 150 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> 100030 RECOVERY FEE 1.000 80.5000 6.64 87.14 <br /> 100065 E-Manifest Fee 2.000 10.0000 0.00 20.00 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 434.3400 28.54 1285.28 <br /> TOTAL CHARGE 1285.28 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 1285.28 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 1285.28 <br /> GENERATOR STATUS <br /> 220-2200 lbs/month <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 (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br />