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CSG SK-SSL-BOX-2S Bruce Macherry 10/27/17 12:04 PAGE 1 <br /> Safety-M een 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$ SA32690 San Joaquin Co Maintenance 74730676-1704547592 <br /> 1810 E Hazelton Ave SRVC WEEK: 2017-43 <br /> Stockton CA 95265-6232 SRVC DATE: 10/27/17 <br /> PHONE 916-941-2910 <br /> BILL TO CUSTOMER# BILL T6 ADDRESS: <br /> SA31'600 San ]oaquin Cc Maintenance <br /> 1810 E Hazelton Ave <br /> Stockton CA 95205-6232 <br /> PHONE 916-941-2910 <br /> PUHt.HASE ORDER# 10272017 TAX EXEMPTO <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL . <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 833733 ORUM,55 WASTE O.F. 1.000 111.3000 0.00 111.30 <br /> SERVICE TERM 24 WEEK <br /> 3383 DRUM,5S GAL FOR O.F. 2.000 21.2000 0.00 42.40 <br /> SERVICE TERM 24 WEEK <br /> '656,6o LAH'17310G1; OIL FILTERS 55G 1.000 250.0000 O.Do 150.00 <br /> SERVICE TERM 24 WEEK <br /> CUN Imo. 7`.:iL: W.1 MAP!.LfE_.[a: DUG: 3I.]K`� :u;,m CD: ut. �,Kv# 223/AGI.2 <br /> (:NJ 1/1W0528334 QIV: 100 WI/VOL P PROF* 1Sfi 777 SKDO1 7610003 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 '2.000 0.0000 0.00 0.00 <br /> ---^------- ----------- <br /> TOTAL SERVICE/PRODUC"IS 382.5000 0.00 403.70 <br /> TOTAL CHARGE 403.70 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 403.70 <br /> UNPAID BALANCE THIS RECEIPT 403.70 <br /> GENERATOR STATUS <br /> D-2;:0 1 bs/manth <br /> CUs Lower certifier that (i) lire above-nwlled materials are pruperly <br /> LIM-$ified, packaged, marked and labeled, and are ill proper condition <br /> fur Lranaportatiun according to tilt applicable regulaliuns of the - <br /> DeparturcnL of TransirurLel ion (ii) nU material clraagt has occurred <br /> eYlher air the character•61.i— of tilt waste/material or- in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Gcr-ratur Status is correct. Costumer agrees to fray the above charges <br /> and to be bound by the temrus and cunditiuns (1) set far'th in (a) the <br /> General TeraLs and Cunditivns provided separately to Costumer or (b) <br /> any 5•K agreertent signed by Customer acrd SK, and (2) incorporated <br /> her-:in by reference. Unless otherwise indicated in the payment <br /> received section, SK is authurited to charge Customer's account Fur <br /> thio. transaction. If Custoiacr fails to snake payment when due, an <br /> amount equal to the lesser of (i) 1.5% per month (LS% per annus) or <br /> (ii;l the maximum &nuunt allowed by law, will be addad to all unpaid <br /> wrtoun Ls uuLS[ansl trig- Custuliicr certifies that the individual signing <br /> Llri:. Ser_vic¢ Acknuwledilement is duly authorized to sign and bind <br /> Cus lmiu:r. CuiLonier acknuwl eilgey that it is rerpuFuible Fo "'a nfa'inin <br /> its Geoeratur Status and ubtaining an EPA ID nrunVer if required by <br /> applicable law. The following provision is applicable t0 <br /> Sdfltty-Kleen'r parts cleantr and paint gun cleaner services: Customer' <br /> agrees that it will out intVQduCe any substance into the solvent or <br /> Wj.-.'Fes Licarii,g suiuiiur4 in�i:rd inj wiiimai iiuriiaiiun ,urp imca.-auu� <br /> was Le or hacarduus wasLe cunstitueu L, except to the extent sucb <br /> irrt�^uductiun is inLidenLal to the normal use of the machine. Cuslourrr• <br /> fur'Lher agree- Lhat it will not clean parts/paint guns that have been <br /> coil LwuinaLed with ur Utherwise intruduce pulychlurinaLtJ bipbenylS <br /> (PLR's). herbicides, pesticides, dioxins or listed hazardous waste <br /> into tine solvent yr agocous cleaniny solution. Safety-Kleen has tine <br />