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CSG SN-SSL-BOX-23 <br /> Raymond Gomez 02/14/19 12:49 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: 209545101760 (safety <br /> -Kleen) <br /> REFERENCE NBR. <br /> 79257806-1900779S93 <br /> CUSTOMER# 3010836 3C Trucking Inc SRVC WEEK: 2019-8 <br /> 1415 W. Anderson St. SRVC DATE: 02/14/19 <br /> Stockton CA 95206-0000 <br /> PHONE 209-466-3282 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> 3C10836 3C Trucking Inc <br /> 1415 W. Anderson St. <br /> Stockton CA 95206-0000 <br /> PHONE 209-466-3282 TAX EXEMPT# <br /> PURCHASE ORDER# <br /> PRODUCT/SERVICES TOTAL <br /> SERVICE/ QTy UNIT PRICE TAX CHARGE <br /> PRODUCT <br /> 1723603/ 2,000 2623.5000 0.00 5247.00 <br /> 870606 LFB1-LP FOR FUELS BLENOIN <br /> #CONThCNT#: 90213602219M QTyES500 OWT/VOL6PSKSPROF* 1FORM 7236035HIP#SKDOT 8490386 <br /> CNT#: 190213602218 QTY: S00 WT/VOL P PROF* 1723603 29SiD60T 839503316 <br /> 3637 BOX, 1 YARD S WALL CORRUG <br /> 2.000 162.0000 <br /> SERVICE TERM 24 WEEK 1.000 79.5000 7.16 86,66 <br /> 100030 RECOVERY FEE ---------- <br /> TOTAL SERVICE/PROOUCTS 2865.0000 36.32 5686.82 <br /> TOTAL CHARGE 5686.82 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 5686.82 <br /> UNPAID BALANCE THIS RECEIPT 5686.82 <br /> GENERATOR STATUS <br /> 220-2200 lbs/month <br /> are <br /> operly <br /> Customer d' tifies that (i)packaged. markedthe andalabeled,,oandaareiin propercondition <br /> classified, p applicable regulations of the <br /> for transportation according to the app <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 /> thorized to charge Customer's account for <br /> received section, SK is au <br /> this transaction. If Customer fails to make payment when due, an <br /> f (i) 1.5% per month (18% per annum) or <br /> amount equal to the lesser oto <br /> (ii) the maximum amount Callowed <br /> rtifees that <br /> the indw, will be ividual lsigning <br /> amounts Outstanding. ustomerce <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 ifrequiredby <br /> applicable law. The following provision is app <br /> licable Safety-Kleen's parts cleaner and paint gun cleaner services: Customer <br /> agrees that it will not introduce any substance into the solvent or <br /> aqueous cleaning solution, including without limitation any hazardous <br /> such <br /> waste or hazardous waste const:&=ennmal <br /> , cuse of the machine. customer <br />