COMPLIANCE INFO_2022 - Laserfiche WebLink

Home Browse Search

CSG SK-SSL-BOX-23 Gomez, Aaymond 01-13-2021 13 . 41 PAGE 1 V-3 . 9 . 1 Safety-Kleen Systems, Inc . 42 ongwater Drive Norwell, FA 02061 CORPORATE : 800-669-5740 24 HR EMERGENCY 800-468-1760 (Safety-Kleen) 2095451011 REFERENCE NOR. CUSTOMEAt RE32745 Samoa 85059b55 006505378 1627 Army Ct Ste 1 . 2021-3 Stockton SRVC DATE(:: 01-13-2021 CA 95206-0000 PHONE 925-447-0805 BILL TO C USTOMER$ BILL TO ADDRESS . RE32745 Romano 1627 Army t Ste 1 Stockton A 95206-0000 PHONE 925-441-0805 PURCHASE ORDER# TAX EXEMPT$ PRODUCT/SERVICES SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE 90837 MODEL 9 W/2387 & 6365 1 . 0 119 . 8 1 . 0 130 . 58 SIN 180300317 G 00001170SK18030031 CLEAN 2 . 5 SPENT 0 . 0 SERVICE TERM 12 WEEK SCANNED NO 100030 RECOVERY FEE 1 . 0 13 . 00 1 . 17 14 . 17 TOTAL SERVICE/PRODUCTS --- 132 . 80 11 . 95 144 . 75 CHARGETOTAL 144 . 75 CREDITS 0 . 00 ------------------------------ TOTAL DUE 144 . 75 Spent solvent m acceptance c UNPAID BALANCE THIS RECEIPT 144 . 75 Local Phone . sicker Affixed t e Yes Machine erlygrounded? Closing of lid unobstructed? Yes Fusible link linka i Yes Decals i and legible? Yes tamp s embly Condition Yes Machine clean and goad condition . Yes GENERATOR 0-220 STATUS lbs/month I have established a program to reduce the volume above-named materials are properly o toxicity of the hazardousthe degree t Cally practicable . 1 and a n proper gcondition nE accordingtion to waste regulations nofvthe D Transportation (if) n materialchange has toccurred aeither in the char to/ma val or eepro generatingprocess thewaste/Material, and ( iii) the above referenced G s iscorrect . in topay theabovec and to be bound by t and conditions (1 ) setforthin (a) the eGeneral tT and Conditions provided separately [ r (b) anyOFagreement signed by and s (2 ) incorporatedhereinUnlessother the paymentreceived soctionr Kuiso authorized t charge Customers If C make payment san amount equal t cof (i) 1 . 5% month ( 18% per va um) Sortv(if) t wwill dbe to all unpaidamountsOutstanding . C individual s Acknowledgement i dulydauthorized [ bindCustomer . acknowledges thatit GeneratorStates and obtaininganumberoifrr applicable law. The followingsprrovisionmi napplicable st Safety Kleens p andpaintg services : C will not introduce any substance into the or parts secleaning solution,Cleaner w anyhazardouswaste ceptt l: the e roduction i i thein mal u rdfurther tagrees will not to p is/paintvguns that. have b ted with o otherwise m eCpolychlorinated b enylsa ( PCBS) , herbicides, pesticides, dioxins o ted hazardouswasteaqueous cleaning s Safety-Kleen has the capacity and i accept, s and/ors re the spentpartswasher solvent; paint thinness, solvents and paints r dry cleaning filter cartridges? powder, residuescontaining perchlox etbylen naphtha, ethane dry Clea agree it is responsible f properlyclassifyingi Used O NonhazardousWasteordanceswith tthe provision of 40 A 262 . 11 and applicable s streams thatitroducetany nn - ing substance into the SK Property, state a orhazardousa ,f (im polychlorinated biphenyls ("PCBs" ) , herbicides, pesticides , dioxins , ho hazardous wastes) e such introduction incidentalif t mal v oftheProperty . I these of the introduction except such hn - hazardous waste, Customer to sothat i responsible for a remediationexpensesr arising from the proper management a atheen - includingthec tedeconntaminatonand subsequent disposaldF voicing will benbased no s provided, w may include additional Charges for off s and surcharges . Final Invoice a may vbeem t listed o printed receipt . If any c legal action is commenced because of an alleged dispute, breach, default or misrepresentation, nthe