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BRAWN 714& 24 David Buxton 08/07/12 14: RAGE € <br />Safety--K een Systems, Inc. <br />s360 Legacy Drive. <br />Building 2. suite log <br />Pl o-, Taxes 75024 <br />$00-669-5740 <br />Z0940-1011 <br />REFERENCE <br />' <br />CUSTOMER# 10130745 CRL-TRANS SHOP 10- 30110 NC 58618642 <br />1603 S B $t ERVC WEEK: 2012-31 <br />j Stockton CA 95206-2478 ERVC DATE: 08/07/12 €4,28 <br />PHONE 208-948.7813 <br />BILL TO CUSTOMER# BILL TO AiESS: <br />0010130745 CAL-TRANS SHOP 10- 30110 NC <br />1603 s B St <br />Stockton CA 95206-2476 <br />PHONE .209-945-7813 <br />p" PURCHASE ORDER# 8301-254 TAX EXEMPTION NBR <br />PRODUCT/SERVICES <br />SERVICE/ TDTAL. <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />83635 WASTE SGL BRIE SHAL9+IG 4.000 010000 0.00 0.00 <br />SERVICE TERM 24 WEEK <br /># CONTS: 4 TSUF, 7401 MANIFEST#: 18642 FORM CO, BL SK SHIP# 207894407 <br />LNT#: 120802280253 QTY'. 30 WT/VOL p PROFILE: 01501766 SKOOT 14078 <br />CNT#: 120802280252 QTY, 30 WT/V0t P PROFILE: 0250176 SST 14078 <br />CNT#: 111011772200 QTY: 30 WT/VOL P PROFILE: 0150176 SKOOT 14078 <br />CNT#; 111011772ZIO 417;.30 WT'/VQL.P PROFILE: 0150176 5K00T 14079 <br />3835 MAKE SHAVINGS 5GL 4.000 11€,0000 0.00 444,00 <br />SERVICE TERM 24 WEEK <br />100001 FEE,FUEL SURCHAME 1.00:] 15..4600 0.00 15.46 <br />------------------------------------------ <br />TOTAL <br />_-_--__._-_- ------------------__-- <br />TOTAL SERVICE/PR00UC15 €26.4600 0:00 459.46 <br />/ <br />TOTAL CHARGE 459.48 <br />1CREDITS 0,00 <br />70TAL OUZ <br />---------­----459.46 <br />AMO AID CREDIT CARD 459.48 <br />VISA ACCT#)0=-X)=-XXXX-0933EXP, DATE 6/13 <br />UNPAXD BALANCE THU RECEIPT 0.00 <br />GENERATOR STATUS <br />0-820 lbs/momtb <br />Customer certifies that (i) the above-named materials are Properly <br />classified, Packaged, marked and labeledand are in proper corWition <br />for transportation according to the applicable regulations of the <br />Department of 'Transportation and (H) no material change has occurred <br />either in the characteristics of the waste%material or in the ,process <br />generating the waste/material. Customer agrees to pay the above <br />charges and to be bound by the terms and conditions (1) set forth in <br />(a) the General Terms and Conditions provided separately toCustomer <br />or 0) any SK agreement signed by Customer and SK, and (2) <br />incorporated herein by reference. Unless otherwise indicated in the <br />payment received saction, 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 />hind Customer, The following provision is applicable to Safety-Klaen"s <br />parts cleaner and paint ,gun cleaner services: ;Cusstomer agrees that it <br />will not introduce any substance into the solvent or aqueous 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 net class parts/paint guns that have been contaminated <br />with or otherwise introduce polychlorinated biphenyls Q+CB's), <br />herbicides, pesticides, dioxins or listed hazardous waste into the <br />solvent or aqueous cleaning solution, Safaty-Kleee has the capacity <br />and is permitted to accept, stare, and/or reclaim the spent parts <br />washer solvent; paint thinners, solvents and paints generated by <br />customer, or, dry clearing filter cartridges, powder, and stili <br />residues containing parchlorwhylone, petroleum naphtha, or <br />triflurotrichloreathana dry Cleaning solvents. Safety-Kleen and <br />customer agree that .this agreement is intended to satisfy the <br />requirements of 40 CFA 282.20(e). IN THE EVENT OF AN EMERGENCY CALL 24 <br />f !R EMERGENCY # 1 -SCO -468-1780 (Safety-Klaen Contract # 94138) <br />X <br />CUSTOMER / GENERATOR. Th Dailey <br />