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CSG SK-SSL-BOK-23 Gomez, ymond 07-06-202. 1 12 : 49 PAGE 1 V-5 . 6 <br /> safety-Kleen Systems, Inc . <br /> a <br /> 42 L Drive <br /> well MA 02061 <br /> CORPORATE : 800-669-5740 <br /> 24 HE EMERGENCY : 800-468-1760 (safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# RE32745 Semen e - 2103036833 <br /> 1627 Army Ct Ste 1 SETO SEEK : 2021-27 <br /> Stockton SAVO DATE : D7-06-2021 <br /> A 95206-0000 <br /> PHONE 925-447-0805 <br /> BILL ToC HTOMER# L TO ADDRESS . <br /> RE32745 emc0 <br /> 1627 Army Ct Ste 1 <br /> Stockton <br /> CA 95206-0000 <br /> PHONE 925-447-0005 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE <br /> 0863 GASTEC AQUEOUS PN HANDLE TUBE 1 . 0 6 . 00 0 . 54 6 . 54 <br /> 53830 COMB MDL 53 <br /> AQ/6365 1 . 0 227 . 41 0 . 00 227 . 41 <br /> 5/N 98765 TGCLEAN 3 . 0 SPENT 0 . 0 <br /> SERVICE TERM 24WEEK SCANNED NO <br /> 90837 MODEL 90 w/2387 s 6365 1 . 0 119 . 8 10 . 18 130 . 58 <br /> SIN 18030031 TAG <br /> 00001170SK1803D031 CLEAN 2 . 5 SPENT 0 . 0 <br /> SERVICE TERM 12 WEEK SCANNED NO <br /> 100030 RECOVERY PEE 1 . 0 33 . 55 3 . 02 36 . 57 <br /> TOTAL SERVICE/PRODUCTS <br /> 386 . 76 14 . 34 401 . 10 <br /> TOTAL CHARGE 401 . 10 <br /> CREDITS 0 . 00 <br /> ------------------------------ <br /> TOTAL <br /> O1 . 10 <br /> UNPAID BALANCE THIS RECEIPT 3 401 . 1 <br /> Machine <br /> and good condition? 0 <br /> Spent solvent meets acceptance <br /> criteria? 0 <br /> Local Phone N Sticker Affixed <br /> Me 0 <br /> 00chm <br /> Emergen <br /> rngMachine properly 9ofulid <br /> dunobst ted? 0 <br /> Fusible link i led? 0 <br /> Decals in place and legible? D <br /> Lamp Assembly condition 0 <br /> GENERATOR <br /> 0£ STATUS <br /> 220 lbs/month <br /> Customer that (i ( the I have established a volume above-named m y r <br /> quantity and ttoxicity o classified, packaged, markedandt economically p <br /> practicable . labeled, a ehinaproper w condition for t degree <br /> eeregulations of the <br /> Transportation (ii) n material c according <br /> the tcharacteristics of the w to/material o <br /> pthe mprocess generating thew to/material, and n (iii) st occurred <br /> referenced G r agrees <br /> o pay the above c and by thetermsandconditions (1 ) s in (a) t oral T andme <br /> Conditions provided aseparately e r da) any5 signed by c and S and (2 ) incorporated herein <br /> by r e indicated ei or <br /> payment Kr vednsection, HK i authorized [ charge Customers <br /> for this transaction . r fails t make p equal t the lesser of (i ) 1 . 5% per <br /> (18'. parArnim) Or (ii ( therm allowed bynl ewill beaddedall unpaid a outstanding . Customer <br /> certifies that the individual as mthis s Acknowledgement is duly authorized to and wind Customer . <br /> acknowledges that i esponsiblef ing i and obtaining a number i Customer <br /> applicable law . Thefollowingn Israpplicable tt Safety-Kleensuparts c t gun cleaner <br /> Customer that it roduce any substance i the s aqueous c aping solution, includingwithout <br /> limitationanyhazardous ww orhazardousw co solvent <br /> e Such introduction i incidental to <br /> then mal a of the machine C willnotn parts/paint guns that have been <br /> contaminatedwitho polychlorinatedDiphenyls (PCBS ) , herbicides, p r listed <br /> hazardous or introduce <br /> slcleaning solution . 8 - capacity cand sisdpermitted t <br /> store, and/or treclaimt the sspent tparts washer solvent; paint thinners,, solvents and epaints generated by customer, ordry <br />