Laserfiche WebLink
CSG SK-SSL-UMO-ol Joseph R Limo Jr 03/07/19 08:33 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 HE EMERGENCY: 800-468-7.760 [Safety-E(leen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER-. SA3263D San Joaquin Co Maintenance 79319624-1900925576 <br /> 1810 E Hazeltan Ave SRVC WEEK: 2019-9 <br /> Stockton CA 95205-6232 SRVC DATE: 03/07/19 <br /> PHONE 209-468-3099 <br /> BILL TO CUSTOMERp BILL TO ADDRESS: <br /> SA32680 San Joaquin Co Maintenance <br /> 1810 E Hazelton Ave <br /> Stockton CA 95205-6232 <br /> PHONE 209-468-3099 <br /> PURCHASE ORDERt, 251775 TAX EXEMPTS <br /> PRODUCT/SERVICES <br /> SEHVIC£f TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> .10256- FEE, OIL SERVICE/STOP NON 1.000 182.5000 0.00 182.50 <br /> SERVICE TERM 8 WEEK <br /> 66636 USED OIL RECYCLE AUTOMOTI 280.000 0.0000 0.00 0.00 <br /> SERVICE TERM 8 WEEK <br /> HALOGEN / CLOR-D-TELT TEST RESULT PASS: AAM � 1000 <br /> ---`-----------------------.-"__---------- <br /> TOTAL SERVICEIPRODUCTS 182.5000 0.00 182.50 <br /> TOTAL CHARGE 182.50 <br /> CREDITS 0.00 <br /> TOTAL DUE --_~_Nµ182 50 <br /> UNPAID BALANCE THIS RECEIPT 182.50 <br /> If high risk source, rep. certifies that load specific PCB a Silicon <br /> testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer certifies that (i) the above-namtd 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 /> hither in the characteristics of the wastalmaterial or in the process <br />