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CSG SK-SSL-BOX-24 David McCarroll 03/03/20 13:21 PAGE 1 <br /> Safety--K1 een Systems , Inc . <br /> 42 Longwater Drive <br /> Norwell, MA 02061 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE SBR. <br /> 82540164-2001087209 <br /> CUSTOMERS CH46348 Cheem16200as. McKinley Ave SRVC WEEK: 2020-10 <br /> Lathrop CA 95330-0000 SRVC DATE: 03/03/20 <br /> PHONE 209-599-0777 <br /> BILL TO CUSTOMERS BILL TO ADDRESS: <br /> CH46348 Cheema Freightlines LLC <br /> 16200 %. McKinley Ave <br /> Lathrop CA 95330-0000 <br /> PHONE 209-$99-0777 TAX EXEMPTS <br /> PURCHASE ORDERS <br /> PRODUCT/SERVICES <br /> TOTAL <br /> SERVICE/ <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 1985947/ <br /> 875480 CNOS SSGL NON HA7. SEMI SL 1.000 261.0000 0.00 261.00 <br /> SERVICE TERM 24 WEEK <br /> S CONTSCNTS: 00226013803M QTY: 1Q0 0WT /V4O95PSKS FORM CD: US SPROF# 1985947SHIPS2SKOOT8811023 <br /> 1985944/ <br /> 875460 CNO-NON HAZARDOUS SOLID S 1.000 262.0000 0.00 262.00 <br /> SERVICE TERM 24 WEEK <br /> S CONTS0731 <br /> CNTS: 00226013824M QTY: ISO OWT/VOL S PSKSPROF# 1985944FORM CO: US 5HIP SSKDOT28811014 <br /> 1985947/ <br /> 875481 CNOS 30GL NON HAZ SEMI SL 1.000 197.0000 0.00 197.00 <br /> SERVICE TERM 24 WEEK US <br /> S CONISFORM CO: <br /> CNTS: 200226013802M gTy: 100 OWT/VOL PSKSPROF* 1985947SHIPSSKD0828811023 <br /> 3345 DRUM, 30 GL BLACK STEEL 0 1.000 76.0000 6.65 82.65 <br /> 3369 DRUM, 55 GL BLACK STEEL 0 1.000 0.0000 0.00 0.00 <br /> CAUSE CODE VOIDHEADERANDLINE -SERVICE NOT NEEDED <br /> 83383 DRUM,55 WASTE O.F. 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 16 WEEK <br /> CAUSE CODE VOIDHEADERANDLINE -SERVICE NOT NEEDED <br /> 3383 DRUM,SS GAL FOR O.F. 1.000 10.5000 0.00 10.50 <br /> SERVICE TERM 16 WEEK <br /> 1 <br /> 100030 RECOVERY FEE .000 64.5200 5.65 70.170 <br /> 0..0 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.000 0..... 0.00 000 <br /> TOTAL SERVICE/PRODUCTS 871.0200 12.30 883.32 <br /> TOTAL CHARGE 883.32 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 883.32 <br /> UNPAID BALANCE THIS RECEIPT 883.32 <br /> GENERATOR STATUS <br /> 0-220 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 waste/material or in the process <br /> of the <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions provided separately to Customer or (b) <br /> 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 <br /> this transaction. If Customer fails to make payment when due, an <br /> amount equal to the lesser of (i) 1.S% per month (18% per annum or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind <br /> Customer. Customer acknowledges that it is responsible for maintaining <br /> its Generator Status and obtaining an EPA ID number if required by <br /> applicable law. The following provision is applicable to <br /> Safety-Kleen's parts cleaner and paint gun cleaner services: Customer <br /> agrees that it will not introduce any substance into the solvent or <br /> w <br /> aqueous cleaning soLrtion, incLidinn ith"��+ I;m;+•+'"" �'" <br />