Laserfiche WebLink
--1 /C . .•1 -00Cn1 --i <br /> w dy ��\O 9 Raymond Gomer 07/26/18 10:20 PAGE 1 O T Z O <br /> M of Safety-Meen Systems , Inc . �� C) o 0 <br /> U) OGrr 2600Rnichardson,lentrl ETXy�75080e 200 (D n � *C <br /> CORPORATE: 800-669-5740 O 3. Ul <br /> C'0 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) {�'(VQ{ L. O <br /> 2095451011 <br /> aS REFERENCE NOR. f <br /> 0 N <br /> Q 1123022 fires Direct 17311465-1803351022 { O \O <br /> u4rvICY ACCOu„1 <br /> y 221 North Wilson Way SRVC WEEK: 2018-30 C2 J <br /> Stockton CA 95205-0000 SRVC DATE: 07/26/18 T12"SG22 N <br /> PHONE 916-690 7010 �. O <br /> OtiiOhlrR* BILL TO ADDRESS: 1 <br /> Q <br /> Tires Direct Branthl.oc O <br /> 221 North Wilson Way Fp%Xur'4 O <br /> Stockton CA 95205-0000 O <br /> PHONE 916-690-7010 (D <br /> E ORDER* TAX EXEMPT* Forou"I O- <br /> PRODUCT/SERVICES <br /> TOTAL <br /> CE/ QTY UNIT PRICE TAX CHARGE <br /> CT1.000 320.3300 0.00 320.33 Mandes <br /> COMS MDL 55 AQ/6365 <br /> S/N 11111 CLEAN 5.00 SPENT 0.000 -0 <br /> SERVICE TERM 12 WEEK C� <br /> 00391 226154X-PP-DR55-VT SAE 15 1.000 555.4500 49.99 605.44 UNIS MCI <br /> SERVICE TERM 12 WEEK S» <br /> 3101840 21CO2os-PP-DR55-VT SAE OW 1.000 691.5000 62.24 753.74 <br /> $26.4' <br /> SERVICE TERM 24 WEEK <br /> 3101919 216530X-PSB-DRSS-VT SAE 5 2.000 555.4600 99.98 1210.90 $12 <br /> SERVICE TERM 8 WEEK <br /> 100030 RECOVERY FEE 1.000 25.6300 2.31 27.94 <br /> 100004 Motor Oil Assessment Fee 1.000 11.0000 0.00 11.00 $51( <br /> 100006 Oil Recycling Fee >70% BASE 1.000 19.8000 0.00 19.80 <br /> 100007 Oil Recycling Fee < 70% BASE 1.000 13.2000 0.00 13.20 C BLEND SNIGF-5 <br /> ___ __ $5! <br /> TOTAL SERVICE/PRODUCTS 2192.3700 214.52 2962.35 IC BLEND SNIGF- <br /> TOfAL CHARGE 2962.35 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 2962.35 )T AL <br /> TAX <br /> 1 *PAID BALANCE 1HI5 RECEIPT 296z.3s .AMOUNT D <br /> Machine clean and good condition? Yes e customef F <br /> Lamp Assembly Condition Yes transaction.' <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes Iccountnum <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 l <br /> GENERATOR STATUS <br /> 0-220 lbs/111011th rg erly <br /> I T the above-named materials P condition <br /> marked and labeled, and are in proper <br /> f Customer certifies that ("� licable regulations of the <br /> classified, Packaged' to the app occurred <br /> - *arson according „� material change has 0 <br /> the OrOCeSS O <br /> Q <br /> -13 <br /> W � <br /> CD -13 <br /> ZJ7 <br /> CD O <br /> O 1 <br /> O <br /> N <br /> W <br />