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CSG SK-SSL-BOX-23 Raymond Gomez 10/21/19 10 : 13 PA <br /> Safety - K7een Systems , Inc . <br /> 2600 N Central Expy, Suite 200 <br /> o Richardson , TX 75080 <br /> CORPORATE : 800 -669 -5740 <br /> 24 HR EMERGENCY : 800 -468 -1760 (Safety-Kleen) <br /> 2095453011 <br /> CUSTOMER# AL35471 Alco Iron And Metal REFERENCE M <br /> 1815 Navy Or 81410689 -1905572; <br /> Stockton CA 95206 - 1178 SRVC WEEK : 2019 • <br /> PHONE 209 - 932 -1107 SRVC DATE : 10/2I, <br /> BILL TO CUSTOMER# BILL TO ADDRESS : <br /> AL35471 Alco Iron And Metal <br /> 1815 Navy Dr <br /> Stockton CA 95206 - 1178 <br /> PURCHASE ORDER# PHONE 209 - 932 ^ 1107 <br /> PRODUCT/SERVICES TAX EXEMPT# <br /> SERVICE/ <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> OTAI <br /> 1825571/ <br /> I 875465 CNO-NONHAZARDOUS SOLID C 2 . 000 1309 . 0000 0 . 00 2618 . 01 <br /> SERVICE TERM 24 WEEK <br /> ( # CONTS ; 2 TSDF : S7 MANIFEST# : OD7313217SKS FORM CD : US SHIP# 229754976 <br /> CNT#: 19I017434318 QTY ; 500 WT/VOL P PROF# 182SS71 SKOOT 8607791 <br /> j CNT#; 191017434319 QTY ; 500 WF/VOL P PROF# 1825571 SKOOT 8607797 <br /> 3369 DRUM , 55 GL BLACK STEEL 0 3 . 000 125 , 0000 33 . 75 <br /> 408 . 75 <br /> 7646 ABSORBENT, OIL AND LIQUID <br /> SERVICE TERM 24 WEEK 75 . p00 7 . 4900 50 . 56 612 , 31 <br /> r <br /> 3637 BDX , 1 YARD 5 WALL CORRUG 1 . 000 0 . 000D 0100 0200 <br /> CAUSE CODE VOIDHEADERANDLINE -SERVICE NOT NEEDED <br /> 3345 DRUM , 30 GL BLACK STEEL 0 1 . 000 76100DD 6 . 84 82184 <br /> SERVICE TERM 24 WEEK <br /> 100030 RECOVERY FEE I . 00D 80 . 5000 7 . 25 87J5 <br /> 100065 E-Manifest Fee 11000 2010000 0 . 00 20 . 00 <br /> TOTAL SERVICE/PROOUCTS 1617 . 9900 95 . 40 - - 3829165 <br /> TOTAL CHARGE 3829165 <br /> CREDITS 0100 <br /> - " • <br /> TOTAL DUE 3829 . 65 <br /> UNPAID BALANCE THIS RECEIPT 3829165 <br /> i <br /> ; <br /> GENERATOR STATUS <br /> r 0-220 lbs/month <br /> ( <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 M. <br /> generating the waste/materiel , and (iii) the above referenced <br /> Generator Status is Corractl Customer agrees to pay the above charges <br /> and to be. bound by the terms and conditions (1) set forth in (o) 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 (i) 11596 per month (18% 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 followinu oroviaian .9c _ ..1 <br />