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CSG SK-SSL-BOX-23 Wilmer Garcia Garcia 05/17/18 14:02 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-K1een) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# CE22404 Cencal Recycling 76856505-1802392454 <br /> 501 Port Road 22 SRVC WEEK: 2018-20 <br /> Stockton CA 95203-2909 SRVC DATE: 95y19??0P- <br /> PHONE 209-606-3646 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> CE22404 Cencal Recycling <br /> 501 Port Road 22 <br /> Stockton CA 95203-2909 <br /> PHONE 209-606-3648 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 1.000 76.0000 6.84 82.84 <br /> SERVICE TERM 12 WEEK <br /> 1.000 10.0000 0.00 10.00 <br /> e11999!0 101-- U."rom 1.000 80.0000 0.00 80.00 <br /> 953753/ <br /> 875120 LCCRQ 55GL LP AEROSOLS FO 1.000 416.0000 0.00 416.00 <br /> # CONTS: 1 TSDF: WI MANIFEST#: 56505 FORM CD: BL SHIP# 225486631 <br /> CNT#: 180514414184 QTY: 175 WT/VOL P PROF# 953753 SKDOT 8300306 <br /> 100001 FEE, FUEL SURCHARGE 1.000 12.8100 1.15 13.96 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.000 0.0000 0.00 0.00 <br /> TOTAL SERVICE/PRODUCTS 594.8100 ~7.99 602.80 <br /> TOTAL CHARGE 602.80 <br /> CREDITS 0.00 <br /> TOTAL DUE 602.80 <br /> UNPAID BALANCE THIS RECEIPT 602.80 <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Customer certifies that (i) 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 (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions provided separately to Customer or (b) <br /> 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 <br /> this transaction. If Customer fails to make payment when due, an <br /> amount equal to the lesser of (1) 1.58 per month (188 per annum) or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind <br /> Customer. Customer acknowledges that it is responsible for maintaining <br /> its Generator Status and obtaining an EPA ID number if required by <br /> applicable law. The following provision is applicable to <br />