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BRANCH 718501 CSG 22 COLE' ''ILLIAM 01/09/04 08:39 PAGE 1 <br />Sarety-Kleen <br />5400 Legacy Dr. <br />Cluster II, Building 3 <br />Plano, Texas 75024 <br />209-545-1011 <br />REFERENCE NBR <br />CUSTOMER# 371796 FOX RIVER PAPER CO - RIPON 0025176781 <br />SERVICE TAX: 0,07750 942 S STOCKTON AVE SRVC WEEK: 04.01 <br />COMS TAX: 0.00000 ATTN: ACCTS PAYABLE SRVC DATE: 01109/04 08:28 <br />PRODUCT TAX: 0.07750 RIPON CA 95366-2784 <br />PHONE 209-599-4241 <br />PURCHASE ORDER# TAX EXEMPTION NBR: <br />PRODUCT/SERVICES <br />SERV ICEI <br />PROUT <br />SER IAL# <br />00 3230 TAX HANDLING NIC DRUM DROP <br />00 100001 TEMPORARY FUEL SURCHARGE <br />00 7530 SORBENT SVC 55 PADS <br />00 88886 83337 DRUM,55 WASTE-SORBNT <br />2273729 CLEAN 0 SPENT 0 <br />SERVICE TERM 2 <br />00 88888 890860 ORK SLDGE LIBTU Hf <br />204135 CLEAN 0 SPENT 0 <br />SERVICE TERM 2 <br />CAUSE CODE S <br />00 88888 890590 ORGNC LIQ INTBTU LOW <br />271495 CLEAN 0 SPENT 0 <br />SERVICE TERM 2 <br />CAUSE CODE S <br />00 88888 890590 DRGNC L.IQ INTBTU LOW <br />1065995 CLEAN 0 SPENT 0 <br />SERVICE TERM 2 <br />CAUSE CODE S <br />00 88888 890760 ORGNC SLDG HIGH/INT <br />2015734 CLEAN 0 SPENT 0 <br />SERVICE TERM 2 <br />CAUSE CODE S <br />TOTAL SERVICE/PRODUCTS <br />TOTAL <br />QTY UNIT PRICE TAX CHARGE <br />2 <br />0.0000 <br />0.00 <br />0.00 <br />1 <br />5.9000 <br />0.00 <br />5.90 <br />2 <br />549,0000 <br />0.00 <br />1098.00 <br />1 <br />0.0000 <br />0.00 <br />0.00 <br />0 <br />0.0000 <br />0.00 <br />0.00 <br />0 <br />0.0000 <br />0.00 <br />0.00 <br />0 <br />0.0000 <br />0.00 <br />0.00 <br />0 <br />0.0000 <br />0.00 <br />0.00 <br />----------------------------------------- <br />554.9000 0,00 1103.90 <br />USEPA TRANSPORTER 1 TXR000060930 GENERATOR USEPA CADOG9119314 <br />USEPA TRANSPORTER 2 GENERATOR STATE <br />MANIFEST DOC # 22959915 FORM CODE CA TRACKING # 104229886 <br />US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID <br />TOTAL CONT 2 TYPE OM TTL QTY 520 UNIT WT/VOL P SKDOT 19027 <br />CONTAINER# 31203011129 QTY 260 <br />CONTAINER# 31203011130 QTY 260 <br />DESIGNATED FACILITY NAMEIADDRESS: <br />SAFETY-KLEEN SYSTEMS, INC. <br />3700 LAGRANGE ROAD <br />SMITHFIELD <br />USEPA ID NO KY0053348108 <br />STATE ID NO <br />KY 40068 <br />TOTAL CHARGE 1,103.90 <br />WASTE MIN 0.00 <br />TOTAL DUE 1,103.90 <br />Machine clean and good condition? Yes <br />Decals in place and legible? Yes <br />Fusible link Installed? Yes <br />Emergency closing of lid unobstructed? Yes <br />Machine properly grounded? Yes <br />Spent solvent meets acceptance criteria? Yes <br />GENERATOR STATUS 220 - 2200 lbs/month <br />Customer certifies that (1) 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 and (ii) no material change has occurred <br />either in the characteristics of the waste materials or in the process <br />generating the waste materials. Customer agrees to pay the above <br />charges and to be bound by the terms and conditions (1) set forth in (a) <br />the General Terms and Conditions provided separately to Customer or <br />(b) any SK agreement signed by Customer and SK, and (2) incorporated <br />herein by reference. Unless otherwise indicated in the payment <br />received section, SK is authorized to charge Customer's account for this <br />transaction. Customer certifies that the individual signing this Service <br />Acknowledgement is duly authorized to sign and bind Customer. <br />IN THE EVENT OF AN EMERGENCY CALL 1.800.468.1760 (2.4 hours) <br />