Laserfiche WebLink
CSG SK-SSL-VAC-42 Benjamin D Taylor 08/23/19 11:38 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-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# GA15065 Gardner Trucking/Classic Sales In 80920607-1904471017 <br /> 2577 W Yosemite Ave SRVC WEEK: 2019-34 <br /> Manteca CA 95337-9641 SRVC DATE: 08/23/19 <br /> PHONE 209-249-3204 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> GA15065 Gardner Trucking/Classic Sales In <br /> 2577 W Yosemite Ave <br /> Manteca CA 95337-9641 <br /> PHONE 209-249-3204 <br /> PURCHASE ORDER# man-00007282 TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 66667 VACUUM LIQUID (NON-PQUAL) 1652.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 6 <br /> 66677 VACUUM SOLID (NON-PQUAL) 1148.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> VAC PH TEST: 6 <br /> # CONTS: 1 TSDF: EVG MANIFEST#: 007158681SKS FORM CD: US SHIP# 229292867 <br /> CNT#: 190823331635 QTY: 2800 WT/VOL G PROF# 150182 SKDOT 3287 <br /> 10967 VAC SERVICE FEE AUTOMOTIV 1.000 181.8300 0.00 181.83 <br /> SERVICE TERM 24 WEEK <br /> 100030 RECOVERY FEE 1.000 80.0000 0.00 80.00 <br /> 10906 VAC SVS SERVICEFEE 6 1.000 520.0000 0.00 520.00 <br /> 10913 VAC TRUCK WASH 1.000 300.0000 0.00 300.00 <br /> 82118 HALOGENS TEST 1.000 120.0000 0.00 120.00 <br /> 10975 FEE, VAC 50% SOLIDS 2800.000 1.7600 0.00 4928.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 1203.5900 0.00 6129.83 <br /> TOTAL CHARGE 6129.83 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 6129.83 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 6129.83 <br /> Per BOG M420-001 the halogen detecting instrument has been <br /> zeroed and validated. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <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 />