Laserfiche WebLink
c� <br />of TRANSPORTER: Raymond Gomez <br />LAST PAGE <br />,CSG SK -SSL -BOX -23 Raymond Gomez 12/11/18 11:23 PAGE <br />i' .Safety4leen 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# DES4220 Delgado Auto 78525922-180590226 <br />101 W Or Martin Luther Ki SRVC WEEK: 2018-5i <br />Stockton CA 95206-1703 SRVC DATE: 12/11/1 <br />PHONE 760-579-iS33 <br />BILL TO CUSTOMER# BILL TO ADDRESS: <br />DE54220 Delgado Auto <br />. 101 W Or Martin Luther King 3r Blvd <br />Stockton CA 95206-1703 <br />PHONE 760-579-1533 <br />PURCHASE ORDER# TAX EXEMPT# <br />PRODUCT/SERVICES <br />SERVICE/ TOTAL <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />905837 MODEL 90.5 W/2387 6365 10 1.000 99.0000 8.91 107.91 <br />S/N 15918845 TAG 00002697SK15918845 CLEAN 2.50 SPENT 0.000 <br />SERVILE TERM 12 WEEK SCANNED NO <br />100030 RECOVERY FEE 1.000 16.0000 1.44 17.44 <br />TOTAL SERVICE/PRODUCTS 115.0000 10.35 125.35 <br />TOTAL CHARGE 125.35 <br />CREDITS 0.00 <br />TOTAL DUE 125.35 <br />UNPAID BALANCE THIS RECEIPT 125$35 <br />Machine clean and good cmrdition? 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 />GENERATIIR STATUS <br />0-220 lbs/month <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 <br />generating the waste/material, and (iii) the above referenced <br />Generator Status is correct. Customer agrees to pay the above charges <br />j.. and to be bound by the terms and conditions (1) set fgrth in (a) the <br />j 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) 1.596 per month (18% per annum or <br />(ii) the maximum amount allowed by law, will be added to all unpaid <br />amounts ouisCarkding. Customer certifies that thendividual 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 following provision is applicable to <br />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 />waste or hazardous waste constituent, except to the extent such <br />introduction is incidental to the normal use of the machine. Customer <br />furthe, agrees that it will not clean parts/paint guns that have been <br />contaminated with or otherwise introduce polychlorinated biphenyls <br />(PCB's), herbicides, pesticides, dioxins or listed hazardous waste <br />into the solvent or aqueous cleaning solution. Safety-Kleen has the <br />capacity and is permitted to accept, store, and/or reclaim the spent <br />parts washer solvent; paint thinners, solvents and paints generated by <br />customer: or dry cleaning filter cartridues. oowder. and still <br />