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CSG SK-SSL-130X-24 <br /> David McCarroll 10/1S/19 09:54 PAGE 1 <br /> 39Vd 15V1 <br /> Safety-Kleen Systems, Inc . <br /> :Z a31aOdSNVHL 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> __________________________________ CORPORATE: 500-669-5740 <br /> 24 HR EMERGENCY: 209545101160 (Safety- <br /> 2095451011 <br /> REFERENCE NOR. <br /> 81400363-1905519979 <br /> CUSTOMER# R015429 RD Lab Rubber Co. Inc. SRVC WEEK: 2019-43 <br /> 8830 W Linne Rd SRVC DATE: 10/18/19 <br /> Tracy CA 95304-9109 <br /> PHONE 209-836-0965 <br /> BILL TO CUSTOMER# BILL Ta ADDRESS: <br /> LLOJJ033W POT(I :a31HOdSNVH.L RO16550 Ro Lab Rubber Co. Inc- <br /> .L <br /> W Linne Rd <br /> Tracy CA 95378-0450 <br /> PHONE 209-666-5727 TAX EXEMPT# <br /> PURCHASE ORDER# PRODUCT/SERVICES <br /> TOTAL <br /> SERVICE/ QTY UNIT PRICE TAX CHARGE <br /> PRODUCT <br /> 1918795/ 1.000 649.0000 0.00 649.00 <br /> 875240 CCRC-INC FLAMMABLE CORS 5CO: US <br /> #CONTS: 1 TSDF: AG MANIFEST#: 00731331688SKSPFFOM 1918795SHIP#SKDOT 48727143 <br /> CNT#: 191015398779 QTY: 100 WT/VOL <br /> 1919410/ 1.000 1290.6000 0.00 1290.60 <br /> snwal oaaua[ :SO1Va3N39/ H3WOLSOJ I 875455 CBP-SLD OR SEMI-SLD TD HA <br /> t # CONTS: I 191015398711M O <br /> QTy : 150 WT/VOL PSKSPROF# 1919410 FORM CD: US SHIP#SKDOT48727153 <br /> 1 <br /> e 1919419/ 1.000 347.5000 0.00 347.50 <br /> 870542 LCCRC 15GL /GNC MATERIAL <br /> # CONTS: 1 TSDF-. AG MANIFEST#: 0073131168SSKS PROF#D: US 9 IP# 2SKDOT29743624 <br /> 8727134 <br /> CNT#: 191015398781 QTY: 75 WT/V <br /> 1012636/ 4.000 578.5000 0.00 2314.00 <br /> U v 870540 LCCRC SSGL /GNC MATERIAL <br /> # CONTS: 4 TSDF: AG MANIFEST#: 00731310L8PK5 PROF# 3012636H P# SKDOT 8727135 <br /> Z 229743624 <br /> CNT#: 191015398794 QTY: 75 WT/V <br /> CNT#: 191015398795 QTY: 75 WT/VOL P PROF# 1012636 SKDOT 8727135 <br /> o OL P PROF# 1012636 SKDOT 8727135 <br /> CNT#: 191015398796 QTY: 75 WTNOL P PROF# 1012636 SKDOT 8727135 <br /> 4 CNT#: 191015398797 QTY: TE 1.000 101.0000 7.83 108.83 <br /> 56.82 <br /> j 3607 BOX, 1 YARD PLASTIC COATS 3.000 296.0000 68.82 936.64 <br /> gluow/sqL OZZ-0 i, 3300 DRUM 85 GL YELLOW STEEL 0 1.000 34.0000 2.64 <br /> SFILVIS HOLVa3N3a ,id 15416 DRUM, IS GL BLACK POLY OH5S GL BLACK STEEL 0 5.000 74.3400 28.81 400.51 <br /> 8003369 DRUM, <br /> ON OI 31V1S A1I10V3 SERVICE TERM 24 WEEK <br /> L6TSZ000ObaO ON OI Vd3Sn ALIlIJV4 1)03 $50008/ FBI-LQD FOR FUEL SSGL 9.000 298.0000 0.00 2682.00 <br /> 9196-BBL-EOS :3NOHd OSI 14 # CONTS: 9 TSDF: S] MANIFEST#: 007313016PSKSPROF# 1918758FORM CD: US 5HIP#SKDOT48727154 <br /> 8868 STOLE a0 SVWVMJVTJ A. CNT#: 191015398699 QTY: 300 WT/V SKDOT 8727154 <br /> a0 a31N3dHVJ 3S EESZT ,M CNT#: 191015398700 QTY: 300 WT/VOL P PROF# 1918758 SKDOT 8727154 <br /> JNI SOInu OWa3Hl yp CNT#: 191015398701 QTY: 300 VF/VOL P PROF# 1918758 SKDOT 8727154 <br /> :SS3a00V/3WVN ALITIJVJ O31VNDIS30 by CNT#: 191015398702 QTY: 300 VF/VOL <br /> do 5 PROF# 1918758 SKDOT 8727154 <br /> ¢S CN191015398694 QTY: 300 WT/VOL P <br /> CNT#: 19101539869QLY: 300 WT/VOL P PROF# 1918758 SKDOT 8727154 <br /> ff095T #d0ad OS.PALO Sa3NIV1NOJ l bTT/lV9 Of :ZS 9606209Z6061 410410 ' CNT#: 191015398697 QTY: 300 WT/VOL P PROF# 1918758 SKDOT 8727154 <br /> 919ZLRL LOONS d l0A/Lb1 WO 3dAL T LNOJ 1V1Q1 y� <br /> S9003 31SVM 31VIS nJ CNT#: 191015398698 QTY: 300 WT/VOL P PROF# 1918758 SKDOT 8727154 <br /> (Sa310110S103isvm SnoaaVZVH VaJa-NON uR <br /> 100030 RECOVERY FEE 1.000 80----- 6-- 86 74 <br /> 3NON S300J 315V <br /> �'� TOTAL SERVICE/PRODUCIS <br /> ----- ----3749.4400-- 114.34 8872.64 <br /> TOTAL CHARGE 8872'64 <br /> (OI 0NV 'SSVTJ OaVZVH '3WVN 9NIddIHS H9dOHd 9NIGAIJN3) NOTLdINJS30 100 Sn 44 CREDITS 0.00 <br /> Z H31HOdSNVa1 lag TOTAL DUE 8872.64 <br /> 110T-SbS-602 :3NOHd dSNL iu4 <br /> 99ES6 'VJ1YaI1VS iag <br /> OAls VOIlVS OSOS 1UT 8872.64 <br /> uVOLM AIDJOS SO T90000aXL T a31HOdSNVaL gag UNPAID BALANCE THIS RECEIPT <br /> OTObb962Z #dIHS OT :OJ WHOA %S SZ6T6STL00 :#1S3.4INVW gab <br /> 3LVIS a01Va3N39 60SSZE000 VJ '0I VdM aOLV83N39 q0 <br /> S960-9E8-60Z 3NOHd dao <br /> 6016-b0E56 VJ A-IJL 104 <br /> Pa auu�l M 0E88 IL3 <br /> OTOSOBOGGI-L9119019 ':)uI -oa raggna qEl Oa 6ZOST08 :HO.LVa3N39/#H'9W0LSOJ SnJ <br /> 'UHN 3JN3a333H <br /> (u0a0-A:I81TS)o9LT-99b-008-T ..,aagtanN-JH-bZax IIVJ A3N39a3W3 NV 40 1N3A3 3H1 NI N3, GENERATOR STATUS <br /> 1N3wn:)oa �NIddIHS 0-220 lbs/month <br /> Customer certifies that (i) the above-named materials are properly <br /> 6Z-XO8-lSS-HS !)S:) classified, Packaged, marked and labeled, and are in proper condition <br /> E 39Vd Sb:TT 61/60/OT LLoarepW POND for transportation according to the applicable regulatiOPS of the <br /> ________________________________ vul Department of Transportation (ii) no material change has occurred <br /> ------------------------------------- either in the characteristics of the waste/material or in the process <br /> :Z a3laodSNVa1 iaw3 generating the waste/material, and (iii) the above referenced <br /> sn3 . Customer agrees to pay the above charges <br /> Generator Status is correct <br /> __________________________________ �aO and to be bound by the terms and conditions (1) set forth in (a) the <br /> 1301 General Terms and Conditions provided separately to Customer or (b) <br /> heelpow 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' <br /> received <br /> for <br /> I - <br />