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CSG SK-SSL-BOX-24 Shane Allen 08/17/18 11:29 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# DD02783 D & D Lift Inc. 77629384-1804038108 <br /> 3820 Rhonda Way SRVC WEEK: 2018-33 <br /> Tracy CA 95304-1608 SRVC DATE: 08/17/18 <br /> PHONE 209-229-7440 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> DD02783 D & D Lift Inc. <br /> 3820 Rhonda Way <br /> Tracy CA 95304-1608 <br /> PHONE 209-229-7440 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 3383 DRUM,55 GAL FOR O.F. 3.000 11.4000 0.00 34.20 <br /> SERVICE TERM 8 WEEK <br /> 83383 DRUM,55 WASTE O.F. 2.000 58.8500 0.00 117.70 <br /> SERVICE TERM 8 WEEK <br /> 1506536/ <br /> 875460 CNO-NON HAZARDOUS SOLID 5 4.000 280.3400 0.00 1121.36 <br /> SERVICE TERM 8 WEEK <br /> # CONTS: 4 TSDF: SJ MANIFEST#: 011844699fle FORM CD: US SHIP# 226191284 <br /> CNT#: 180808040578 QTY: 350 WT/VOL P PROF# 1506536 SKDOT 8005834 <br /> CNT#: 180808040579 QTY: 350 WT/VOL P PROF# 1506536 SKDOT 8005834 <br /> CNT#: 180808040580 QTY: 350 WT/VOL P PROF# 1506536 SKDOT 8005834 <br /> CNT#: 180808040581 QTY: 350 WT/VOL P PROF# 1506536 SKDOT 8005834 <br /> 898560 CARTRIDGE OIL FILTERS 55G 1.000 170.9300 0.00 170.93 <br /> SERVICE TERM 8 WEEK <br /> # CONTS: 1 TSDF: SJ MANIFEST#: 011844699fle FORM CD: US SHIP# 226191284 <br /> CNT#: 180808040587 QTY: 250 WT/VOL P PROF# 156777 SKDOT 7612003 <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 4.000 85.0000 28.05 368.05 <br /> SERVICE TERM 14 WEEK <br /> 100030 RECOVERY FEE 1.000 81.0000 6.68 87.68 <br /> 100065 E-Manifest Fee 1.000 10.0000 0.00 10.00 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 3.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 697.5200 34.73 1909.92 <br /> TOTAL CHARGE 1909.92 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 1909.92 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 1909.92 <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 of the waste/material or in the process <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 />