HomeMy WebLinkAboutDSHW-2024-004933REMIT TO:
Clean Harbors Environmental Services, Inc.
PO Box 734867
Dallas, TX 75373-4867
OFFICE:
Clean Harbors Environmental Services, Inc.
2150 North 470 East
Tooele, UT 84074
(435) 843-4840
If you have any questions regarding this invoice, please contact your customer
service representative at the telephone number listed above
William Simmons
Aragonite/UDEQ SEP Account
P.0. Box 1339
Grantsville, UT 84029 - 0890
JOB SITE/GENERATOR:
Bear River Health Department
655 E 1300 N
Logan, UT 84341 - 0000
EIN: 04-2698999
Job Description: Bear River Health E-Cig Waste Collection ** Payable in USD funds **
Last Service Date Invoice No Customer Branch Sales Order Purchase Order Terms
07 Jun 2023 AR26865 69 2303053945 MARIELA THOMPSON Net 15 Days
Last Service Date Task Task Type Description Total
07 Jun 2023 2303053945-001 GENERAL Bear River Health E-Cig Waste Collection $105.94
SUBTOTAL $105.94
TAX $0.00
PLEASE PAY THIS AMOUNT INVOICE TOTAL $105.94
INVOICE PREVIEW
Interest will be charged at a rate of 1.5% per month for all past due amounts.
Invoice Date: 13 Jun 2023 PLEASE RETURN A COPY OF INVOICE WITH PAYMENT - THANK YOU Page 1 of 2
TASK 2303053945-001 - Bear River Health E-Cig Waste Collection
Manifest Item ID Description Manifest Manifest Billing Billing Unit Amount
Info Qty UOM Qty UOM Price
07 Jun 2023
017681037FLE
1
DISPSL /
LBRE
Miscellaneous Vape or E Cigarettes
CH2277709SEP
1 05DF 1.000 05DF 0.0000 $0.00
EMANIFEST E-Manifest Fee 1.000 EA 20.0000 $20.00
SORBVERM Vermiculite 4 cuft 1.000 BAG 70.5500 $70.55
FEE Recovery Fee 90.550 EA 0.1700 $15.39
SUBTOTAL $105.94
TAX $0.00
TASK TOTAL $105.94
INVOICE PREVIEW
Invoice Date: 13 Jun 2023 Page 2 of 2
REMIT TO:
Clean Harbors Environmental Services, Inc.
PO Box 734867
Dallas, TX 75373-4867
OFFICE:
Clean Harbors Environmental Services, Inc.
2150 North 470 East
Tooele, UT 84074
(435) 843-4840
If you have any questions regarding this invoice, please contact your customer
service representative at the telephone number listed above
William Simmons
Aragonite/UDEQ SEP Account
P.0. Box 1339
Grantsville, UT 84029 - 0890
JOB SITE/GENERATOR:
Salt Lake County Health Department
788 E Woodoak Lane
Murray, UT 84107 - 0000
EIN: 04-2698999
Job Description: Salt Lake County Health Dept E-Cig Waste Collection ** Payable in USD funds **
Last Service Date Invoice No Customer Branch Sales Order Purchase Order Terms
27 Apr 2023 AR26865 69 2302275357 JESSICA ANTEZANO Net 15 Days
Last Service Date Task Task Type Description Total
27 Apr 2023 2302275357-001 GENERAL Salt Lake County Health Dept E-Cig Waste Collection $26.07
SUBTOTAL $26.07
TAX $0.00
PLEASE PAY THIS AMOUNT INVOICE TOTAL $26.07
INVOICE PREVIEW
Interest will be charged at a rate of 1.5% per month for all past due amounts.
Invoice Date: 01 May 2023 PLEASE RETURN A COPY OF INVOICE WITH PAYMENT - THANK YOU Page 1 of 2
TASK 2302275357-001 - Salt Lake County Health Dept E-Cig Waste Collection
Manifest Item ID Description Manifest Manifest Billing Billing Unit Amount
Info Qty UOM Qty UOM Price
27 Apr 2023
018383103FLE
1
DISPSL /
LBRE
Miscellaneous Vape or E Cigarettes
CH2277709SEP
6 05DF 6.000 05DF 0.0000 $0.00
FEE-DISP Utah Hazardous Waste for Disposal 0.057 T 35.0000 $2.00
EMANIFEST E-Manifest Fee 1.000 EA 20.0000 $20.00
FEE Recovery Fee 22.000 EA 0.1850 $4.07
SUBTOTAL $26.07
TAX $0.00
TASK TOTAL $26.07
INVOICE PREVIEW
Invoice Date: 01 May 2023 Page 2 of 2
REMIT TO:
Clean Harbors Environmental Services, Inc.
PO Box 734867
Dallas, TX 75373-4867
OFFICE:
Clean Harbors Environmental Services, Inc.
2150 North 470 East
Tooele, UT 84074
(435) 843-4840
If you have any questions regarding this invoice, please contact your customer
service representative at the telephone number listed above
William Simmons
Aragonite/UDEQ SEP Account
P.0. Box 1339
Grantsville, UT 84029 - 0890
JOB SITE/GENERATOR:
TriCounty Health Department
133 S 500 W
Vernal, UT 84078 - 0000
EIN: 04-2698999
Job Description: Tri County Health **Payable in USD funds **
Last Service Date Invoice No Customer Branch Sales Order Purchase Order Terms
19 Oct 2023 AR26865 69 2305645851 WILLIAM SIMMONS Net 15 Days
Last Service Date Task Task Type Description Total
19 Oct 2023 2305645851-001 GENERAL Tri County Health $2,801.16
SUBTOTAL $2,801.16
TAX $0.00
PLEASE PAY THIS AMOUNT INVOICE TOTAL $2,801.16
INVOICE PREVIEW
Interest will be charged at a rate of 1.5% per month for all past due amounts.
Invoice Date: 25 Oct 2023 PLEASE RETURN A COPY OF INVOICE WITH PAYMENT - THANK YOU Page 1 of 2
TASK 2305645851-001 - Tri County Health
Manifest Item ID Description Manifest Manifest Billing Billing Unit Amount
Info Qty UOM Qty UOM Price
19 Oct 2023
018381393FLE
1
DISPSL /
LBRE
Miscellaneous Vape or E Cigarettes
CH2277709SEP
1 05DF 1.000 05DF 250.0000 $250.00
FEE-DISP Utah Hazardous Waste for Disposal 0.010 T 35.0000 $0.35
018381393FLE TRAN TRANSPORTATION 1.000 EA 562.0000 $562.00
TKBOX10 Box Truck 11.000 HR 65.0000 $715.00
EMANIFEST E-Manifest Fee 1.000 EA 20.0000 $20.00
CH Chemist 8.000 HR 60.0000 $480.00
CHOT Chemist Overtime 3.000 HR 90.0000 $270.00
DM5POLY 5 Gal / 20 Litre Poly Drum 1H2/Y1.5/60 1.000 EA 27.2600 $27.26
FEE Recovery Fee 2,324.610 EA 0.2050 $476.55
SUBTOTAL $2,801.16
TAX $0.00
TASK TOTAL $2,801.16
INVOICE PREVIEW
Invoice Date: 25 Oct 2023 Page 2 of 2