Laserfiche WebLink
CSG SK-SSL-UMO- 01 Joseph R Lima Jr 12 / 18 / 17 10 : 19 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# ST37222 Stockton Sailing Club 75644896 <br /> 4980 Buckley Cove Way SRVC WEEK : 2017 - 51 <br /> Stockton CA 95219- 2025 SRVC DATE : 12 / 18 / 17 <br /> PHONE 209- 951 - 5600 <br /> BILL TO CUSTOMER# BILL TO ADDRESS : <br /> SA32681 County of San Joaquin DPW/ Solid Waste <br /> 1810 E Hazelton Ave <br /> Stockton CA 95205 - 6232 <br /> PHONE 909- 947- 9363 <br /> PURCHASE ORDER# TAX EXEMPT # <br /> PRODUCT/SERVICES <br /> SERVICE / TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 66636 USED OIL RECYCLE AUTOMOTI 180 . 000 0 . 2900 0 . 00 52 . 20 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS : PPM < 1000 <br /> 10256 FEE , OIL SERVICE / STOP NON 1 . 000 215 . 0000 0 . 00 215 . 00 <br /> ---- --- ----- - -- --- - - --- ------ -- - - --- - - - - - <br /> TOTAL SERVICE / PRODUCTS 215 . 2900 0 . 00 267 . 20 <br /> TOTAL CHARGE 267 . 20 <br /> CREDITS 0 . 00 <br /> --- -------- - - -- <br /> TOTAL DUE 267 . 20 <br /> UNPAID BALANCE THIS RECEIPT 267 . 20 <br /> If high risk source , rep , certifies that load specific PCB & Silicon <br /> testing have been completed prior to pumping this load . <br /> GENERATOR STATUS <br /> CESQG : Vehicle <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 /> any SK agreement signed by Customer and SK, and ( 2 ) incorporated <br /> herein by reference . Unless otherwise indicated in the payment <br /> received section , SK is authorized to charge Customer ' s account for <br /> this transaction . If Customer fails to make payment when due , an <br /> amount equal to the lesser of ( i ) 1 . 5 % per month ( 18a per annum ) or <br /> ( ii ) the maximum amount allowed by law , will be added to all unpaid <br /> amounts outstanding . Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind <br /> Customer . Customer acknowledges that it is responsible for maintaining <br /> its Generator Status and obtaining an EPA ID number if required by <br /> applicable law . The following provision is applicable to <br /> Safety-Kleen ' s parts cleaner and paint gun cleaner services : Customer <br /> agrees that it will not introduce any substance into the solvent or <br /> aqueous cleaning solution , including without limitation any hazardous <br />