COMPLIANCE INFO_2022 - Laserfiche WebLink

Home Browse Search

CSG SK-BWP-UMO-01 Lima Jr,Joseph R 03-21-2022 08:30 PAGE 1 V-6.4 Safety-Kleen Systems, Inc. 42 Longwater Drive Norwell, MA 02061 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 REFERENCE HER. CUSTOMER# OR14365 O'Reilly # 3501 88444926 - 2107610511 515 E Yosemite Ave SRVC WEEK: 2022-12 Manteca SRVC DATE: 03-21-2022 CA 95336-5837 PHONE 209-239-4188 BILL TO CUSTOMER# BILL TO ADDRESS: OR10217 O'Reilly Auto Parts 233 S Patterson Ave Attn John Bounds Springfield MO 65802-2210 PHONE 417-520-4589 PURCHASE ORDER# 3-21-22 TAX EXEMPT# PRODUCT/SERVICES SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE 2235 2235 185G OIL TANK 1.0 CP CP CP SIN 16058942 TAG 00002235SK16058942 SERVICE TERM 2 WEEK SCANNED NO 2236 2236 220G OIL TANK 1.0 CP CP CP SIN 653565 TAG T0002236XX00356305 SERVICE TERM 2 WEEK SCANNED NO 66668 DO-IT-YOURSELF OIL SERVICE 130.0 CP CP CP HALOGEN/ CLOR-D-TECT TEST: PASS:PPM < 1000 10948 DIY STOP FEE 1.0 CP CP CP TOTAL SERVICE/PRODUCTS CP CP CP TOTAL CHARGE CP CREDITS CP ------------------------------ TOTAL DUE CP ------------------------------ UNPAID BALANCE THIS RECEIPT CP If high risk source, rep. certifies that load specific PCB & Silicon testing have been completed prior to pumping this load. GENERATOR STATUS CESQG: Vehicle Customer certifies that (i) the above-named materials are properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation (ii) no material change has occurred either in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees to pay the above charges and to be bound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise indicated in the payment received section, SK is authorized to charge Customers account for this transaction. If Customer 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 amount allowed by law, will be added to all unpaid amounts outstanding. Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind Customer. Customer acknowledges that it is responsible for maintaining its Generator Status and obtaining an EPA ID number if required by applicable law. The following provision is applicable to Safety-Kleens parts cleaner and paint gun cleaner services: Customer agrees that it will not introduce any substance into the solvent or aqueous cleaning solution, including without limitation any hazardous waste or hazardous waste constituent, except to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it will not clean parts/paint guns that have been contaminated with or otherwise introduce polychlorinated biphenyls (PCBs), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has the capacity and is permitted to accept, store, and/or reclaim the spent parts washer solvent; paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing perchloroethylene, petroleum naphtha, or triflurotrichloroethane dry cleaning solvents. Customer