COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

AW 1301 Gervais Street - Suite 300 DUNS NO. 05-397-6551 FED. ID NO. 1396090019 CUSTOMER k%w= Columbia, South Carolina 29201 Vo _ FOR SERVICE CALL BRANCH MANAGER ' DOC. EXP. I SCHEDULED SERVICE WEEK SCHEDULED TERRITORY 8ion. CUSTOMER NO. -- 03 1 8 01 0023354250 54 011 RA.L 1i TOR ES ! 06/28/03. ry?i19 L` /3 ui .$ ;aa f L -e "a°t. t - - CREDIT CODE PREVIOUS BALANCE.. BAL. OVER.60 DAYS:.r T 686s24 502a96 CA:_ TKAv ST 0 C KTO N 0002-3854-67 i BUs TYPE OUTER� COUNTY PRO D, P/CCHAIN SVC. P/C ' TRANS - DIVISION TEN 06 10000 alt? 10-:16210001 1604 S G T PO BOX 1632 LOCATION' TAX EXEMPTION NO. EQUIP DIV-STOCKTON DIV ® STOCKTON CA 95206 STt7CKTON CA 9520573� 501 SERVICE DATE SALES REP NO. CUSTOMER P.O. NUMBER CUSTOMER PHONE # TAX CODE HANDLICODE E ASSOC. SERVICE TAX C.O.M.S. TAX PRODUCT TAX dX32 , Ji 09 94th -785-195-84871,6 . P0775 .01775 SERVICE/ r-` REMARKS/ SALES TOTAL WASTE SOLVENT/DRUMS '. SERVICE CHANGE C ANGE INV PROMO MSDS DEPT QUAN. CHARGE CC SERVICETERM SCKPATE PRODUCT j � Li )l A E R UNIT PRICE TAX CHARGE MIN. CLEAN SPENT �°R SK DST TERM WEEKS)(INITIAL) m WM CODE NO. R E L E A SS E o ® GIVEN D °4 3 -140135u3 1 55.05 6.59 ` 1*64 QUOS 1 941 � ❑ 2a J4830 940/3545 1 85.05 6.S9E 91.64 0.00 1 9q1 8 El -Adko 1 559 0100 5.90 0000 0 ❑ El El El El El ❑ El El El y GOOD POOR YES NO YES NO 4 ® _. t CHECK, DECALS IN PLACE MACHINE PROPERLY GROUNDED APPROPRIATE ❑ ❑ F' TOTAL-SERVICE/PRODUCTS a MACHINE CONDITION AND LEGIBLE ❑ ❑ - LOCAL PHONE N0: STICKER Z t s za°t BOXES &CLEANLINESS FUSIBLE LINK ❑ ❑ AFFIXED TO MACHINE - , ❑ INSTALLED USEPA;TRANSPORTER 1 ID 610; USEPATRANSPORTER 2`ID NO" ;; rGENERATOR US DA ]D NO GENERATOR STATE ID:NO{ "'" LAMP AssemBLv sPENr soevENr MEETS W , "„ -�y �> q ry yry p� �,/ p p} ry ry ^y ry CONDITION ❑ EMERGENCY CLOSING ❑ ACCEPTANCE CRITERIA ❑ ( LJ a 1 l 4 4 7 "'Y H Q 3 6 l.0 2 0 (4 U OF LID UNOBSTRUCTED a . 3d i 3J C3' i , AZARD CLASS, ANDID.) 11. US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD 12. CONTAINERS 13. TOTAL 14. UNIT SK DOT NUMBER 1 1 CERTIFY THAT MY�: TOTAL NO. TYPE OIANTIfWi OL WASTE STREAM$ ARE :'WITHI S .iCLEANING �OL�L{N.O®L�..t�QU �Vry4�D .yYJ DIMG '9" 1 ONE OF ;THE FOLLOWIN CATEGORIES : 0 70 20 LBS./MONTH f- domA GGLTEViUUS" , afAiER SOLUTION pE*A.r INITIALS 220 LRS. 00 LR ./MONTH - NITJAL W q - J C GREATER THAN 2,200 LBSJMONTH INITIALS ®C DESIGNATED FACILITY NAME AND ADDRESS S A F L T 6 -K L E E N SYSTEMSi , INC* ETHERI�IN THATNO OCHARACTERSTICS EOHASf- THE CWASTE USA EPA ID NO' � � g Int S„ }; F7 yP � i C3 C7 Q q < '� D g}7� q g uL1idr 1 3i %,,. � L' MATERIALS OR IN THE-!PflOCESS GENERATING THESgg,,ggDp�AA d 9a 3S0� STATE.ID.N0. �g4 �:J�YC3 WASTE MATERIALS. MANIFEST NO i' I AGREE TO PAY THE ABOVE CHARGES AND TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH ABOVE AND ON THE flEVERSE SIDE OF THIS DOCUMENT.. ( _PLEASE,CHARGE MY ACCOUNT FDR THIS TRANSACTION UNLESS OTHERWISE iT�..a C T�j�jI.u;{�� a �.]?-4L.�Jii W CCASH �DICATED. ❑ TOTAL RECEIVED APPLY PAYMENT TO TOTAL CHARGECHECK (FROM ABOVE) --TODAYS NUMBER SERVICEJSALE IPJ THE PAYMENT RECEIVED SECTION. THE INDIVIDUAL SIGNING THIS WASTE MIN.WPREVIOUS OPREi BALANCE AS FOLLOWS LDR MESSAGE DOCUMENT IS DULY'AUTHORIZED TO SIGN AND BIND CUSTOMER TO ITS TERMS. 7 NOT 5� proper condition for it portation acco dm t t 'eppllcable uletlons 11th, Department of Transportation.' �C f�'This is to ceRily That the ovenemed mete a Ere property classified, package, melketl end 12be18Qetld ere ktTOTAL (FROM ABOVE) AMOUNT$ INVOICE# AMOUNT$ DUEINVOICE# MANIFEST CODE SEQ #e is DO NOT WRITE IN THE AREA BELOW CRED s t Pa Print Custo er Name • t 1.": .. AMEX EX�! VISA' ;MC ," , e B y. s 0000roam ''073 -7 7 tgmer`s Authorkzed Representative CUSNCESl TOMER REFERE