Laserfiche WebLink
DUNS NO.05.397.8551 FED.ID NO.3x5090019 ELGIN OFFICE <br /> `s E, FOR SERVICE CALL SRANCH!MANAGER DOC.EXP. �"E6DQO <br /> uRvlce n<EK <br /> 209-545-1011 RALPH TORRES 12/27/08 08--44 1 24 0037758278 <br /> % <br /> ou"T PREVIOUS ISALANCE <br /> C 0 0 0 0 3 7 O 4 - 1 2 wDE <br /> ODOO-4530--31 E 773.05 773. 05 <br /> T MAINTENANCE AND OPERATIONS om Cf+WN Conulm <br /> ER SVa P/C PROD.PK <br /> D ATTN DON 1932 EL PINAL DRIVE 07 0000 230 341.4 3414 4 <br /> 1932 N EL PINAL P CIO SUSD LOCATION TAX EXEMPTION NO. <br /> R 5202 STOCKTON CA- 95205 718501 <br /> SfRVtCE DATE SALES AEP t(D CUSTOMER P.O.NUMBER CUSTOMER PriONE# TAX COflE4AfE EDZPTIPROD ORDERER SERVICETAX C.O.M.S.TAX PRODLSC7 TAX <br /> d" P921297 209-944-4133 05-195-8487 PW . 08 . 08 <br /> DEPT S£RMCEI- SERIAL REMARKW �laN CIiA>CE SALES TOTAL WASTE SOLVENTIDRUMS CC SEAVice ax. PROMs) Mm`I <br /> PRODUCT NUMBER VNITPDVCE TAX CHARGE MIN• cLEAasPENT sKOOT iFRw1 PttAl m NO. RELEASE NO.mmmimom 6NEk <br /> 1 0 2387 0-0000 0 <br /> 2 0 92387 8702034 iL 8 0 <br /> 94830 9401339 18;9. 40 15. 15. 204. 55 0. 01) 1 1494 0 <br /> 92387 8702530 8 <br /> s 94837 9411338 182. 1 14. 5T 196.7 0. 0 1 1494 0 <br /> 6 0 9.4837 9411318 152. 1 14. 57 196.7 0. 0 1 -14941 8 O <br /> T 0 94830 9401344 189. 4 15. 1 204.5 0.00 1494 0 <br /> a 0 100009 16. 7 1. 34 18.-1 0. 01 00 <br /> s © - <br /> D Q . <br /> 2 0 <br /> TOTALSERVICEIPRODUCTS APP IE a aWMM cac d '4E [0] Q <br /> BOXESI 0 AFSDEDTBNACWE p W <br /> USEPA TRANSPORTER 1•!D NO. USD PA TRANSPORTER 2 TR NO. f3ENEFyATDR USF3A tD N0. GENERRTOR STATE 1D NO. "�, ro Lv © cL volmeaUING ® <br /> TXR000050930 CAI1981163975OFUDUWWPAM <br /> 11.US DOT DESCRIPTION NCLUDiNG PROPER SHIPPING NAME.HAZARD CLASS,AND ID. 1z.001 AMRS 1a TOTAL KU19 sh aot I EFx n TAT NY TOTM ,p <br /> N ) 1 3 5 ASTE ST1L?MS IPs wmoN <br /> ONE DF INE FOU.OMNM <br /> NON=RCRA HAZARAOUS WASTE LIQUID D p G . 14941 om? , <br /> (AQUEOUS PARTS MASHER -SOLUTION) <br /> ) , <br /> - �'�•�-_•~••.---~-', t' OREFA7Fn nuxumc8"i,1AlDK01 -6�, <br /> DESIGNATED FACILITY NAME AND-ADDRESS SAF TY-RLEEN SYSTEMS, INC,. 'CERTIFY-NOMATmALcHwQA-xTHW <br /> cc FXjUSAEPAIdNO. z�: <br /> EITHER o1 THE CRAWC7004=.$O£ E ASTE Q x0 <br /> 60001 &8TH'STREET SAC AMENTO CA 95828 MAT1RIAi8 OR IN THE PROCEso GNNVAIM13 THEI STATE ID NO. � Wr <br /> WASTBMATFRVR.S. V.= <br /> CASH p TOTAL RECEIVED I APPLY PAYM TO: MANIFegr NO. I AGREE TO PAY WE ABOVE CHWUSS PAN TO NE BOUND 9Y THE TEAMS AND TOTAL CHARGE p <br /> CHECK NjlA16ERCOMMMMS SET FOAM MOVIEAND ON THE REVERSE SIDE OF TAS DOCUIMiT. (FRIDNABOM <br /> 0 TTSDAYS SER Va PLEASE aUtflOE MY ACCOUNT FOR h0.4 tAAN$AC11011 UNLESS OTNEI9YHSE <br /> POl1.9Wdwof(ATE'D P{THE PAYMENT RECem SECTION.THE MDwuAL S*MNG TNS WA EMN. <br /> E •� LOR MESSAGE DOCUMENT EI WLYAIRNOMEO TO WGW AND SING C=CMER TO IT9 TERMS , (FROM ABOVE} (Fy <br /> RWOICEM I AMOUNTS S 1RVO1C W I, AiOUWS LDA MQT REQ'DT+pa°"V'A°,t '°°.w`b"wwd.p°°°.v•�°�"°"Iw'rwn"wr°a°t`bv.m.i`a.` <br /> TOTAL DUE <br /> USAN CODE SEO p0 RIOT YJFIRE{N THE AREA T mow <br /> z0 . 5 �'rJ <br /> CRED1r CARD Fw. ,pA ,PIIrn Cusco B <br /> t .f 0037758278 •, <br /> �6 0000-3704-1 <br /> Cub AMlhWiZed RPpi <br /> R REFERENCE -:nityt' EEMiENT Cr <br /> TON ,i <br />