Laserfiche WebLink
SG Sl:-SSL-BOX-25 Bruce Mmeberry 11/21/18 14:03 PAGE I <br /> Safety-Kl eery Systems, Inc . <br /> 2600 N Central Lxpy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-659-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 20954si011 <br /> REFERENCE OR. <br /> CUSTOMER# SA32680 San Joaquin Co Maintenance 78542201-1805932250 <br /> 1810 E Haz¢lton Ave SRVC WEEK: 2018-47 <br /> Stockton CA 95205-6232 SRVC DATE: 11/21/18 <br /> PHONE 209-468-3099 <br /> RILL TO CUSTOPIER# BILL TO ADDRESS: <br /> SA32690 San Joaquin Co Maintenance <br /> 1810 E Hazelton Ave <br /> Stockton CA 95205-6232 <br /> PHONE 209-468-3099 <br /> PURCHASE ORDLR# TAX EXEMPTO <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTV UNIT PRZCf TAX CHARGE <br /> 83383 DRUM,55 WASTE O.F. 1.000 111.3000 0.00 111.30 <br /> SERVICE TERM 6 WEER <br /> 3383 DRUM,55 GAL FOR O.F. 2.000 21.2000 0.00 42.40 <br /> SERVICE TERM 6 WEEK <br /> 898560 CARTRIDGE OIL FILTERS SSG 1.000 250.0000 0.00 250.00 <br /> SERVICE TERM 6 WEEK <br /> A CONT5: i TSDF: SJ MANIFESTr: 006687212SK5 FORM CO: US SHIP# 227044621 <br /> CNT#: 181119027029 QTY: 100 WT/VOL P PROF.. 156777 SKOOT 7612003 <br /> IOOOGS E-Manifest Fee 1.000 10.0040 0.00 10.00 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 2.000 0,0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 392.5000 O.OD 413.70 - <br /> TOTAL CHARGE 413.70 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 413.70 <br /> UNPAID BALANCE THIS RECEIPT 413.70 <br /> GENERATOR STATUS <br /> D-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 /> any SK agreement signed by Customer and SK, and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section. S14 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 (18t; 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 respnnSible for maintaining . <br /> its Generator Status and obtaining an EPA I0 number if required by <br /> applicable law. The following provision is applicable to <br /> Safety-%leen% parts cleaner and paint gun cleaner services: Customer <br /> -,•••mat that it t,411 net inirod::c. asy substance into the solvent cr <br />