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080 SK — SSL — BOX - 21 Veldez ,Leonard 11 - 03 - 2021 11 :58 PAGE 1 <br /> Safety — Kleen Systems, Inc . DUPLICATE TICKET <br /> Longwaler Drive <br /> Norwell , 02061 <br /> CORPORATE : SJC LOVELACE MRF /TRANSFER STAT <br /> TE <br /> 24 HR EMERGENCY: 800 - 468 - 1760 (Solely - Kleen) 2323 E . LOVELACE RD . <br /> 2096461011 MANTECA * CA . (209) 982-5770 <br /> REFERENCE NBR , MON4111 7-4 SAT-SUN 7-4 <br /> CUSTOMER# L024138 Lovelace Material Recycling Center 07500041 — 2105364453 <br /> 2323 Lovelace Rd Weighed : .LOSE <br /> J <br /> Manteca CA 95336 - 9233 SRVC WEEK : 2021 —44 Deposit : JOSE <br /> SRVCDATE : 11REIZN !209E 610 - 2001 SRVCDATE : 11 - 03 - 2021 BILL TO : 0 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> L024138 Lovelace Material Recycling Center <br /> 2323 Lovelace Rd <br /> Manteca CA 96336 - 9233 Vehicle ID : W <br /> PHONE 209 - 610 - 2001 <br /> PURCHASE ORDER# TAX EXEMPT# Reference : 97443J2 <br /> PRODUCT/SERVICES COMPANY : SAFETY KLEEN <br /> SERVICES! TOTAL PHONE .: FC150 <br /> PRODUCT QTY UNIT PRICE TAX CHARGE CHECK 11 : P/U FILTERS <br /> 3369 DRUM, 55 GL (MOTRIDGE 01UO .00 46.20 606.20 <br /> O <br /> BLACK STEEL OH <br /> SALVAGE <br /> NEW DATE IN : 11 /03/202. 1 TIME IN : 11 : 24 : 33 <br /> 3383 DAUM,55 GAL 0.0 0.00 0.00 0.00 DATE OU f : 11 /03/2021 TIME OUT : 11 : 57 : 45 <br /> FOR 0 •F , <br /> SERVICE TERM 24 WEEK OUTBOUND TICKET Number : 51 •01463734 <br /> CAUSE CODE VOIDHEAOERANDLINE — SERVICE NOT NEEDED SCALE ;1 GROSS Wl . 24960 LB <br /> 83383 DRUM ,55WASTE 1 .0 55.00 0 .00 55.00 <br /> 0 •F. SCALE 3 TARE WT . 23960 LB <br /> SERVICE TEAM 24 WEEK NET WEIGHT 1000 LB <br /> 898560 1 .0 150 .00 0.00 150100 <br /> FILTERS 550L <br /> 100001 FEE , FUEL 1 .0 15,13 1 .25 16038 * REPRINTED BY *4 <br /> SURCHARGE JOSE at 11 : 59 : 14 <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> TOTAL SERVICEIPRODUCTS Qty Description Amount <br /> 360.13 47.45 827.68 0 . 50 OIL FILTERS 0 . 00 <br /> TOTAL CHARGE 827.58 TICKET AMOUNT : 0 . 00 <br /> CREDITS 0.00 <br /> TOTAL DUE 827.58 <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> UNPAID BALANCE THIS RECEIPT 827.58 X <br /> GENERATOR STATUS <br /> 0 - 220 Ibe/month <br /> 31 <br /> Customer cedlilesthat Q) the l have established a program to reduce the volume — <br /> above — nomad materials are proparly or quantity and toxicity of the hmardouawale <br /> classified, packaged, marked and to the degree lobe economically practicable. labeled, <br /> and ere In proper condilion fortranspadelion according totho applicable regulationsof <br /> the Department of Transportation (le no maledal change has occurred either in the r <br /> cheractedAlcedthe weAelmaterialorInthe process generating the wadalmalarlel, and .� ("" '• <br /> 111) the above referenced Generator Status Is correct Customer agreeato pay the above <br /> c118106eand lobe bound by that , •r . .. <br /> and Conditions provided separately to Cu darner or 0) any SK agreement signed by Customer r <br /> and SK, and 0 incorporated herein by reference. Unlamothenvios indicated In the <br /> payment received section, SK is euthorbed to charge Customere account for this <br /> transactIon, If Customerfallsto make payment when due, an amount equal to the low of <br /> 0) 1,5% per month 08% per annus j or I9 the rrolmum amount allowed by low, will be <br /> added to dl unpaid amounts outstanding, Customer cedifiesthat the Individual signing <br /> Ih[a ROn ISO Anknn I*Andn f In Anlu miH.n.1..a I^ a.. "•_A kl_j n.�---- ...�---- <br />