Laserfiche WebLink
..�.. �,.-».-uFiv^va Joseph K Llma Jr 09/11/17 09:13 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> .. 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORA'M., 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. - <br /> CUSTOMER# SA32680 San Joaquin Co Maintenance 74730673-1704547585 <br /> 1810 E Hazelton Ave SRVC WEEK: 2017-37 _ <br /> Stockton CA 95205-6232 SRVC DATE: 09/11/17 <br /> PHONE 916-941-2910 <br /> SILL TO CUSTOMERS BILL TO ADDRESS: <br /> SA32680 San Joaquin Co Maintenance <br /> 1510 E Hazelton Ave <br /> Stockton CA 95205-6232 <br /> PHONE 916-941-2910 <br /> PURCHASE ORDER# 09-11-2017 TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 66636 USED OIL RECYCLE AUTOMOTI 275.000 0.0000 0.00 0.00 , <br /> SERVICE TERM 8 WEEK <br /> HALOGEN /CLOR-O-TECT TEST RESULT PASS; PPM < 1000 <br /> 10256 pEE, OIL SERVICE/STOP NON 1.000 1112.5000 0.00 182.50 <br /> SERVICE TERM 8 WEEK <br /> -----^----------------------------------- <br /> TOTAL SERVICE/PRODUCTS 182.5000 0.00 182.50 <br /> TOTAL CHARGE 182.50 <br /> CREDITS 0.00 <br /> -----^-1 <br /> TOTAL DUE82.50 <br /> UNPAID BALANCE THIS RECEIPT 182.50 <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 /> CESQC: Vehicle <br /> Customer certifies that (i) the above-named materials ar•e properly <br /> classified, packaged, marked and labeled, and ar•e in proper condition <br /> for transportation according 10 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, SH is authorized to charge Customer's account For <br /> this truisaction. If Customer fails to mala payment when due, an <br /> amount equal to the lesser of (i) 1.5% per month (18% per annum) or <br /> ('ii) the maximin amount allowed by law, will be added to all unpaid <br /> aaounts outstanding. Customer certifias that the individual signing - <br /> this Service Acknowledgement is duly authorized to sign and bind <br /> :stamar. C::stoiatr ackn�eaedges that it is responsiale fur nisirtain-mj <br /> its Generator Status and obtaining an EPA 10 number if required by <br /> applicable law. The following provision is applicable to <br /> Sa Fety-kleen's parts clwaner and pa-int gun cleaner services; Customer <br />