Laserfiche WebLink
Page 1 of 3 <br /> BRANCH 718501 CSG 24 BLACK,DAAMON 03/18/08 17:09 PAGE 1 <br /> Sd fe ty--K l een <br /> 5400 Legacy Dr. <br /> Cluster II, Building 3 <br /> Plano, Texas 75024 <br /> 209-545-1011 <br /> REFERENCE NBR <br /> CUSTOMER# 370412 STOCKTON UNIFIED SCHOOL D1 0036062486 <br /> SERVICE TAX: 0.08000 ATTN DON SRVC WEEK: 08-12 <br /> COMS TAX: 0.00000 1932 N EL PINAL SRVC DATE: 03/18/08 16:47 <br /> PRODUCT TAX: 0.08000 STOCKTON CA 95202 <br /> PHONE 209-944-4133 <br /> PURCHASE ORDER# TAX EXEMPTION NBR: <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 100009 FUEL FEE SURCHARGE 1 15.0000 1.20 16.20 <br /> 821 DEGREASER, HEAVY DUTY 5 GL 2. 44.0000 7.04 95.04 <br /> 94830 MODEL 94 W/2370/6317 1 166.3500 13.31 179.66 <br /> SIN 94013442 TAG TOOOOOOOXX90209345 CLEAN 4 SPENT 0 <br /> SERVICE TERM 8_ <br /> 94830 MODEL 94 W/2370/6317 1 166.3500 13.31 179.66 <br /> SIN 94013391 TAG TOOOOOOOXX90209344 CLEAN 4 SPENT 0 <br /> SERVICE TERM 8 <br /> 94830 MODEL 94 W/2370/6317 1 166.3500 13.31 179.66 <br /> SIN 94013386 TAG TOOOOOOOXX90209346 CLEAN 4 SPENT 0 <br /> SERVICE TERM 8 <br /> 94830 MODEL 94 W/2370/6317 1 166.3500 13.31 179.66 <br /> SIN 94013183 TAG TOOOOOOOXX9O209347 CLEAN 4 SPENT 0 <br /> SERVICE TERM 8 <br /> 92383 2383 PUMP ASSEMBLY 1 0.0000 0.00 0.00 <br /> SIN 83323477 CLEAN 0 SPENT 0 <br /> SERVICE TERM 8 <br /> 92383 2383 PUMP ASSEMBLY 1 0.0000 0.00 0.00 <br /> SIN 83302164 CLEAN 0 SPENT 0 <br /> SERVICE TERM 8 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 768.4000 61.48 829.88 <br /> USEPA TRANSPORTER 1 TXR000050930 GENERATOR ID CAD981163975 <br /> USEPA TRANSPORTER 2 GENERATOR STATE <br /> MANIFEST TRACKING # 001034396SKS FORM CODE 1D <br /> US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID <br /> NON-RCRA HAZARDOUS WASTE, LIQUID <br /> (AQUEOUS PARTS WASHER SOLUTION) <br /> TOTAL CONT 3 TYPE DM TTL QTY 48 UNIT WT/VOL G SKDOT 14941 <br /> CUT# 80223059453 QTY 17 WASTE CODE CA 134 CA CAT G <br /> CNT# 80223059454 QTY 19 WASTE CODE CA 134 <br /> CNT# 80223059455 QTY 12 WASTE CODE CA 134 <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> SAFETY-KLEEN SYSTEMS, INC. <br /> 6000 88TH STREET <br /> SACRAMENTO CA 95828 <br /> USEPA ID NO CA0000084517 TOTAL CHARGE 829.88 <br /> STATE ID NO WASTE MIN 0.00 <br /> ------------- <br /> TOTAL DUE 829.88 <br /> UNPAID BALANCE THIS RECEIPT 829.88 <br /> Machine clean and good condition? Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes ®/ <br /> CON�/TINUED <br /> file://T:\Process\PP 0036062486 00 USA 0000370412 PW.httnl 3/20/2008 <br />