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CSG SK-SSL-BOX-23 Gomez,Raymond 10-24-2023 07:09 PAGE 1 V-8.2 <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 NBR. <br /> CUSTOMER# M032002 Morada Farming Cc 93053830 - 2305630024 <br /> 7676 Austin Rd SRVC WEEK: 2023-43 <br /> Stockton SRVC DATE: 10-24-2023 <br /> CA 95215-9664 <br /> PHONE 805-964-8377 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> ST37094 Stockton Petroleum <br /> 1905 Navy Dr <br /> Stockton <br /> CA 95206-1141 <br /> PHONE 407-428-3073 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE <br /> 3383 DRUM, 55GA OIL FILTER, DROP OFF 1.0 10.00 0.00 10.00 <br /> SERVICE TERM 0 WEEK Scanned: NO <br /> 83383 DRUM, 55GA OIL FILTER WASTE, PICK UP 68.76 0.00 68.76 <br /> Placement <br /> SERVICE TERM 0 WEEK <br /> 898560 CARTRIDGE OIL FILTERS 55GL 0 0.00 0.00 0.00 <br /> Placement <br /> SERVICE TERM 0 WEEK <br /> 100030 RECOVERY FEE 1.0 23.00 0.00 23.00 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.0 0.00 0.00 0.00 <br /> TOTAL SERVICE/PRODUCTS ----------------------------------------------------------------------------- <br /> 101.76 0.00 101.76 <br /> TOTAL CHARGE 101.76 <br /> CREDITS 0.00 <br /> ------------------------------ <br /> TOTAL DUE 101.76 <br /> ------------------------------ <br /> ------------------------------ <br /> UNPAID BALANCE THIS RECEIPT 101.76 <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 />