Laserfiche WebLink
CSG SR-SSL-BOX-23 Raymond Gomez 11/15/18 09:06 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 26000 Central Expy, Suite 200 <br /> Richardson, TX 7$080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-408.1760 (Safety-91eeN <br /> 2095451011 <br /> CUSTOMER# CA64808 Caltrans DID Maintenance Lodi its 78482350-18058186@ <br /> 845 0. Pine St. SRVC WEER; 2018-47 <br /> Lodi CA 95240.0000 SRVC DATE: 11/15/18 <br /> PHONE 209-333-6913 <br /> .BILL TO CUSTOMER# BILL TO ADDRESS: <br /> CANS291 Caltrans Shap 30-Oil <br /> 1003 5 B St <br /> Stockton CA 95206-2476 <br /> . _ PURCHASE ORRERY. 303033901286 PHONE 016-709-2007 TAX EXEMPT@ <br /> PRODUCT/SERVICES <br /> SERVICE/ 707.0E <br /> PRODUCT 4TY UNIT PRICE TAX CHARGE <br /> 3102256 220154X-PP-ORSS-Vr HODEO 2.000 427,2200 66.22 920.66 <br /> 100004 MOTOr Oil assessment fee 1.000 5.5000 0.00 5.50 <br /> 100008 011 Recycling Fee >70%BASE 1.000 13.2000 0.00 13.20 <br /> 100030 RECOVERY FEE 1.000 0.0000 0.00 0.00 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUC03 445.9200 66.22 939.36 <br /> TOTAL CHARGE 930.36 <br /> CREDITS 0.00 <br /> TOTAL DUE 930,36 <br /> UNPAID BALANCE THIS RECEIPT 939.36 - <br /> GENERATOR STATUS - <br /> 0-220 lbs/month <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, packaged, marked end labeled, and are in proper condition <br /> far transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and Ciii) the shave referenced - <br /> Generator Status is correct. Customer agrees To pay the above charges <br /> and to he bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions provided separately to Customer or (b) <br /> any SR agreement signed by Customer and$X, and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SR is authorized to charge Customer's account for <br /> this transactiOR. If Customer fails to make Payment when due, an <br /> amount equal to the lesser of (i) 1.5% per month (18% per annum) or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Customer certifies that the individual 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 XD number if required by <br /> applicable law. The following provision is applicable to <br /> Safety-gleen's parts cleaner and paint gun cleaner services: Customer <br />