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n <br />i <br />I&fety-Kleen Systems, Inc. <br />5360 Legacy Drive. <br />Building 2, Suite too <br />Plans, Texas 75024 <br />800-669-5740 <br />209-545-1011 <br />REFERENCE NBR. <br />CUSTOMER# 10130745 CAL-TRSSHOP 20. 30110 NC 18642 <br />1603 S a St SM WEEK!"2012-31 <br />Stockton CA 95206-2476 SRVC DATE: 08/07/12 14:28 <br />PHONE09-948-7813 <br />BILL 70 CUSTOMER* BILL 70 ADDRESS! <br />0010130745 CAL-71RANS SHOP 10- 30110 K <br />1603 S a St <br />Stockton CA 95206-2476 <br />PHONE .209-90-7813 <br />PURCHASE ORDER# s301-254 TAX EXEMPTION NOR <br />PRODUCYSERVICES <br />SERVICE/ TOTAL <br />PRODUCT <br />an UNIT PRICE TAX CHARGE <br />83635 WASTE $41, BRK1 SHAYNG 4.000 0.000 0.00 0.00 <br />SERVICE TERM 24 WEEK <br />0 CONTS: 4 7SOF: 7401 MANIFEST*. 18642 FORK CD: OL SK SHIPS 207890407 <br />CNTO: 120802280253 QTY: 30 VrjVOL P PROFILE; 0150276 S 14078 <br />CNT#: 120802280252 471Y: 30 WT/VOL P PROFILE: 0150176 SKDOT 14078 <br />CNT#: 111011772209 QTY: 30 WT/VOL P PROFILE: 0150176 SMT 14078 <br />pr#; 111021772210 QTY: 30 WT/VOL P PROFILE: 0150176 SOOT 14078 <br />3635 EWE SHAVZ4GS SGL 4.000 111.0000 0.00 444.00 <br />SERVICE TERM 24 WEEK <br />100001 FEE, FUEL SURCHARGE 1.000 15.4600 0.00 15.46 <br />----------------------------------------- <br />70TAL SERVICEAMOCC-5 126.4600 0.00 459.46 <br />TOTAL CHARGE - 459.46 <br />CRIEDrM 0.00 <br />--------------- <br />TOTAL DUE 459.46 <br />AMOUNIPAID CREDIT CARD 459.46 <br />VISA ACCTFX)(XX-XXXX-X)(XX-O933L)iP. DATE 8/13 <br />UNPAID BALANCE 7HIS RECEIPT 0.00 <br />GENERATOR STAIN <br />0-220 lbs/moth <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 tenial or in the process <br />generating the wasta)%mterial. Customer agrees to pay the above <br />charges and to be bound by the terms and conditions (1) set forth in <br />(a) the Central Terms and Conditions provided separately to Customer <br />or (b) any SK agreement signed by Customer and SK. and CZ) <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. 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-Kleen's <br />parts cleaner and paint gun cleaner services:, Customer agrees that it <br />will not introduce any substance into the solvent or aqua*" cleaning <br />solution, Including without limitation any hazardous waste 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 />that it will not clean parts/paint guns that have been contaminated <br />with or otherwise introduce polychlorinated biphenyls (PCB'S), <br />herbicides. pesticides, dioxins or listed hazardous waste into the <br />solvent or aqueous cleaning solution.,Safaty-Kleen has the capacity <br />and is permitted to accept, start, and/or reclaim the spent parts <br />washer solvent; paint thinner%, solvents and paint* generated by <br />customer; or dry cleaning filter cartridges, powder, and still <br />residues containing perchloreethylone, petroleum naphtha. or <br />trinuratrichloroothane dry cleaning solvents. Safety-Kleen and <br />customer agree that this agreement is intended to satisfy the <br />requirements of 40 CFR 262-20(1). IN THE EVENT OF AN EMERGENCY CALL 24 <br />MR EMERGENCY $ 1-800.468-1760 (Safety-Kleen Contract 9 94238) <br />CUS7004ER / GENERAIDR: Thomas Dailey <br />Ll <br />it <br />