Laserfiche WebLink
CSG SK -SSL - UMO- 02 Miguel Onsurez 07 / 10 / 20 07 : 54 PAGE 1 <br /> Safety - Kleen Systems , Inc . <br /> 42 Longwater Drive <br /> Norwell , MA 02061 <br /> CORPORATE : 800 - 669- 5740 <br /> 24 HR EMERGENCY : 800- 468 - 1760 ( Safety - Kleen ) <br /> 209. 5451011 <br /> REFERENCE NBP . <br /> Ser tip: I Tire i649 43720437 - 2003543072 <br /> r, _ lly Dr SRVC WEEK : 2020 - 28 <br /> 0000 SRVC DATE : 07 / 10 / 20 <br /> PHONE 209- 835 - 6900 <br /> BILL TO CIISTOi4FR4 BILL TO ADDRESS : <br /> M025566 Monro Muffler Brake <br /> 200 Holleder Pkwy <br /> Attn : Accts Payable <br /> Rochester NY 14615 - 3808 <br /> PHONE 262 - 542 - 1888 <br /> PURCHASE ORDER4 no po TAX EXEMPT4 <br /> PRODUCT/SERVICES <br /> SERVICE / TOTAL <br /> PPODUCT QTY UNIT PRICE TAX CHARGE <br /> _ ., L` G FEE , OIL SERVICE / .STOP NON 1 . 000 <br /> SERVICE TERM 8 WEEK <br /> 66636 USED OIL RECYCLE AUTOMOTI 203 . 000 <br /> SERVICE TERM 8 WEEK <br /> HALO'JPN / CLOR - D - TECT TEST RESULT PASS : PPM < 1000 <br /> TOTAL SERVICE / PRODUCTS <br /> TOTAL CHARGE <br /> APF, DT TO <br /> - - - - - - - - - - - - - - - <br /> TOTAL DUE <br /> - - - - - - - - - - - - - - - <br /> UNPAID BALANCE THIS RECEIPT <br /> If high risk source , rep . certifies; that load specific PCB & Silicon <br /> testing tiave beer; completed prior to pumping this load . <br /> GENERATOR STATUS <br /> CESQG : Vehicle <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 bv_ the terns 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 Che payment <br /> ee rived se :a ion , SK is authorized to charge CustomEr ' a 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 ( 18 % per annum ) or � \ <br /> ( ii ) the maximum amount allowed by law , will be added to all unpaid RECEV <br /> EU <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 responsible for maintaining GA F Rpp <br /> 0 7 <br /> its Generator Status and obtaining an EPA ID number if required by 2022 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />