Laserfiche WebLink
CSG SK-SSL-BOX-23 Owens,Allan 08-26-2020 09:31 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 /> 2095451011 <br /> REFERENCE NEE. <br /> CUSTOMER# OR14384 O'Reilly # 2567 84087110 - 2004363779 <br /> 1440 E Harding Way SRVC WEEK: 2020-35 <br /> Stockton SRVC DATE: 08-26-2020 <br /> CA 95205-3104 <br /> PHONE 972-555-1247 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> OR10217 O'Reilly Auto Parts <br /> 233 S Patterson Ave <br /> Attn John Bounds <br /> Springfield <br /> MO 65802-2210 <br /> PHONE 972-265-2485 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE <br /> 3383 DRUM,55 GAL FOR O.F. 1.0 TIER1 TIER1 TIER1 <br /> 8003369 DRUM, 55 GL BLACK STEEL OH RECON 1.0 TIER1 TIER1 TIER1 <br /> 83383 DRUM,55 WASTE O.F. 1.0 TIER1 TIER1 TIER1 <br /> SERVICE TERM 24 WEEK <br /> 875460/ 40559605 CNO-NON HAZARDOUS SOLID 55GL 1.0 TIER1 TIER1 TIER1 <br /> SERVICE TERM 24 WEEK <br /> CONT#: 1 TSDF:BL MANIFEST#: FORM CD:US SHIP#: 232275491 <br /> 007771280SKS <br /> CNT#: 200824258100 QTY: 150 WT/VOL P PROF4:40559605 SKDOT#: 7361257 <br /> 100001 FEE, FUEL SURCHARGE 1.0 TIER1 TIER1 TIER1 <br /> 100065 E-Manifest Fee 1.0 TIER1 TIER1 TIER1 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.0 TIER1 TIER1 TIER1 <br /> TOTAL SERVICE/PRODUCTS <br /> TIER1 TIER1 TIER1 <br /> TOTAL CHARGE TIER1 <br /> CREDITS TIER1 <br /> ------------------------------ <br /> TOTAL DUE TIER1 <br /> ------------------------------ <br /> UNPAID BALANCE THIS RECEIPT TIER1 <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> I have established a program to reduce the volume above-named materials are properly or quantity and toxicity of the <br /> hazardous waste to the degree to be economically practicable. labeled, and are in proper condition for transportation <br /> according to the applicable regulations of the Department of Transportation (ii) no material change has occurred either <br /> in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the above <br /> referenced Generator Status is correct. Customer agrees to pay the above charges and to be bound by the terms and <br /> conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement <br /> signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise indicated in the payment received <br /> section, SK is authorized to charge Customers account for this transaction. If Customer fails to make payment when due, <br /> an amount equal to the lesser of (i) 1.5% per month (18% per annum) or (ii) the maximum amount allowed by law, will be <br /> added to all unpaid amounts outstanding. Customer certifies that the individual signing this Service Acknowledgement is <br /> duly authorized to sign and bind Customer. Customer acknowledges that it is responsible for maintaining its Generator <br /> Status and obtaining an EPA ID number if required by applicable law. The following provision is applicable to Safety- <br /> Kleens parts cleaner and paint gun cleaner services: Customer agrees that it will not introduce any substance into the <br /> solvent or aqueous cleaning solution, including without limitation any hazardous waste or hazardous waste constituent, <br /> except to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it <br />