Laserfiche WebLink
CSG SK-SSL-BOX-21 Valdez,Leonard 03-11-2022 10:06 PAGE 1 V-6.4 <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 HER. <br /> CUSTOMER# BR26816 Brocchini Farms Inc 88314517 - 2107257086 <br /> 27011 S Austin Rd SRVC WEEK: 2022-10 <br /> Ripon SRVC DATE: 03-11-2022 <br /> CA 95366-9625 <br /> PHONE 209-599-4229 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> ER26816 Brocchini Farms Inc <br /> 27011 S Austin Rd <br /> Ripon <br /> CA 95366-9625 <br /> PHONE 209-599-4229 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/PRODUCT _ UNIT PRICE TAX TOTAL CHARGE <br /> 3383 DRUM, 55GA OIL FILTER, DROP OFF 0.00 0.00 0.00 <br /> CAUSE CODE VOIDHEADERANDLINE -SERVICE NOT NEEDED <br /> 8863 GASTEC AQUEOUS PW SAMPLE TUBE 1.0 6.00 0.47 6.47 <br /> 90837 MODEL 90 W/2387 & 6365 1.0 410.0 31.78 441.78 <br /> SIN 19470 TAG TOOOOOOOXX90209368 CLEAN 2.0 SPENT 0.0 <br /> SERVICE TERM 8 WEEK SCANNED NO <br /> PERC TEST: PASS <br /> 83383 DRUM, 55GA OIL FILTER WASTE, PICK UP 0 0.00 0.00 0.00 <br /> CAUSE CODE VOIDHEADERANDLINE -SERVICE NOT NEEDED <br /> SERVICE TERM 24 WEEK <br /> 100030 RECOVERY FEE 1.0 64.48 5.00 69.48 <br /> TOTAL SERVICE/PRODUCTS <br /> 480.48 37.25 517.73 <br /> TOTAL CHARGE 517.73 <br /> CREDITS 0.00 <br /> ------------------------------ <br /> TOTAL DUE 517.73 <br /> ------------------------------ <br /> UNPAID BALANCE THIS RECEIPT 517.73 <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Customer certifies that (i) the above-named materials are properly classified, packaged, marked and labeled, and are in <br /> proper condition for transportation according to the applicable regulations of the Department of Transportation (ii) no <br /> material change has occurred either in the characteristics of the waste/material or in the process generating the <br /> waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees to pay the above charges and <br /> to be bound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to <br /> Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise <br /> indicated in the payment received section, SK is authorized to charge Customers account for this transaction. If Customer <br /> fails to make payment when due, an amount equal to the lesser of (i) 1.5% per month (18% per annum) or (ii) the maximum <br /> amount allowed by law, will be added to all unpaid amounts outstanding. Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind Customer. Customer acknowledges that it is responsible <br /> for maintaining its Generator Status and obtaining an EPA ID number if required by applicable law. The following <br /> provision is applicable to Safety-Kleens parts cleaner and paint gun cleaner services: Customer agrees that it will not <br /> introduce any substance into the solvent or aqueous cleaning solution, including without limitation any hazardous waste <br /> or hazardous waste constituent, except to the extent such introduction is incidental to the normal use of the machine. <br /> Customer further agrees that it will not clean parts/paint guns that have been contaminated with or otherwise introduce <br /> polychlorinated biphenyls (PCBs), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous <br />