Laserfiche WebLink
Safety - Kleen Systems , Inc . <br /> 2600 N Central Expy , Suite 200 <br /> Richardson , TX 75060 <br /> CORPORATE : 800 -669 - 5740 <br /> 24 HR EFIERGENCY : 800 - 468 - 1760 (Safety- Kleen) <br /> 2095451011 <br /> REFERENCE NOR . <br /> CUSTOMER# L024138 Lovelace Material Recycling Center 81823056 - 1906482884 <br /> 2323 Lovelace Rd SRVC WEEK : 2019 - 50 <br /> Manteca CA 95336 - 9233 SRVC DATE : 12 /12 /19 <br /> PHONE 209 - 610 - 2001 <br /> BILL TO CUSTOMER# BILL TO ADDRESS : <br /> L024138 Lovelace Material Recycling Center <br /> 2323 Lovelace Rd <br /> Manteca CA 95336 - 9233 <br /> PHONE 209 - 610 - 2001 <br /> PURCHASE ORDER # TAX EXEMPT# <br /> PRODUCT /SERVICES <br /> SERVICE/ _ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 83383 DRUM , SS WASTE O . F . 3 . 000 55 . 0000 0 . 00 165 . 00 <br /> SERVICE TERM 24 WEEK <br /> # CONTS : 3 TSDF : TPO MANIFEST# : Oo7276677SKS FORM CD : US SHIP # 230147003 <br /> CNT# : 191204377115 QTY : 250 WT/VOL P PROF# 156033 SKOOT 7872676 <br /> CNT# : 191204380108 QTY : 250 WT/VOL P PROF# 156033 SKDOT 7872676 <br /> CNT# : 191204380109 QTY : 300 WT/VOL P PROF # 156033 SKOOT 7872676 <br /> 898560 CARTRIDGE OIL FILTERS 55G 1 . 000 150 . 0000 0400 150 . 00 <br /> SERVICE TERM 8 WEEK <br /> # CONTS : 1 TSDF : S ) MANIFEST# : 007276678SKS FORM CO : US SHIP# 230147004 <br /> CNT# : 191204380110 QTY : 140 WT/VOL P PROF # 156777 SKDOT 7612003 <br /> 3383 DRUM , 55 GAL FOR O . F . 4 . 000 10 . 0000 0 . 00 40 . 00 <br /> SERVICE TERM 24 WEEK <br /> 100001 FEE , FUEL SURCHARGE 1 . 000 12 . 8100 0 . 00 12 . 81 <br /> 100065 E -Manifest Fee 2 . 000 20 . 0000 0 . 00 40 . 00 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 4 . 000 0 . 0000 0 . 00 0 . 00 <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> TOTAL SERVICE/PRODUCTS 247 . 8100 0000 407 . 81 <br /> TOTAL CHARGE 407 . 81 <br /> CREDITS 0 . 00 <br /> - - - - - - - - - - - - - - - <br /> TOTAL DUE 407 . 81 <br /> UNPAID BALANCE THIS RECEIPT 407 . 81 <br /> GENERATOR STATUS <br /> 220 - 2200 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 , arid (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 ill (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 i0 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 . 596 per month (18% per annul) or tj <br /> (i i) the maximum amount aount allowed by law , will be added to all unpaid <br /> a <br /> mounts outstanding . Customer certifies that the individual signing <br /> d <br /> this Service Acknowledgement is (filly authorized <br /> Customer . Customer acknomwto sign and bind <br /> ledges that it is responsible for maintain iag <br /> its Geneator 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 /> waste or hazardous waste constituent , except to the extent such <br /> introduction is incidental to the normal use of the machine . Customer <br /> further agrees that it will not clean parts/paint guns that have been <br /> contaminates <br /> "Sign use <br /> CUSTOMER / GENERATOR : manuel chavez <br /> Signature . <br />