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CSG SK-SSL-BOX-23 Raymond Gomez 08/28/18 09:24 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# IT10046 ITS Technologies 77547503-1803852193 <br /> 6540 Austin Rd SRVC WEEK: 2018-34 <br /> Stockton CA 95215-9662 SRVC DATE: 08/28/18 <br /> PHONE 209-450-9035 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> IN30053 In-Terminal Svc <br /> 6540 Austin Rd <br /> Stockton CA 95215-9662 <br /> PHONE 999-999-9999 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 960439/ <br /> 875121 LCCRQ 30GL LP AEROSOLS FO 1.000 507.9700 0.00 507.97 <br /> SERVICE TERM 12 WEEK <br /> # CONTS: 2 TSDF: WI MANIFEST#: 49492 FORM CD: BL SHIP# 226249492 <br /> CNT#: 180815180999 QTY: 50 WT/VOL P PROF# 960439 SKDOT 7582952 <br /> CNT#: 180815181000 QTY: 50 WT/VOL P PROF# 960439 SKDOT 7582952 <br /> 3383 DRUM,55 GAL FOR O.F. 2.000 23.4800 0.00 46.96 <br /> SERVICE TERM 12 WEEK <br /> 83383 DRUM,55 WASTE O.F. 2.000 85.6000 0.00 171.20 <br /> SERVICE TERM 12 WEEK <br /> 7225 SORBENT PADS NP 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 90837 MODEL 90 W/2387 & 6365 1.000 347.0900 26.90 373.99 <br /> SIN 14129967 TAG 00001170SK14129967 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 960444/ <br /> 875460 CNO-NON HAZARDOUS SOLID 5 1.000 0.0000 0.00 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VoidHeaderAndLine -SERVICE NOT NEEDED <br /> 2222 GAUGE, DIY TANK 2.000 0.0000 0.00 0.00 <br /> SERVICE TERM 24 WEEK <br /> 100030 RECOVERY FEE 1.000 81.0000 6.28 87.28 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 2.000 0.0000 0.00 0.00 <br /> 100065 E-Manifest Fee 1.000 10.0000 0.00 10.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS 1055.1400 33.18 1197.40 <br /> TOTAL CHARGE 1197.40 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 1197.40 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 1197.40 <br /> Machine clean and good condition? Yes <br /> Lamp Assembly Condition Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Local Phone No. Sticker Affixed to Machine Yes <br /> Spent solvent meets acceptance criteria? Yes <br />