HomeMy WebLinkAboutInv# 069997 - JAM ENVIRONMENTAL & VACUUM SERVICES LLC - 05/18/2022A Broward County Certified
CBECompany
BILL TO
JAM Environmental & Vacuum Services LLC
250 SW 21st Terrace
Fort Lauderdale, FL 33312
(954) 625-2310
www.jamenvironmental .com
I SHIPT()_ -
: City of Dania Bch
128 NW 10th Court
City of Dania Bch
1201 Stirling Rd
Dania Beach, FL 33304
tgoodman@daniabeachfl.gov
i Dania Beach, FL 33004
INVOICE #
06-9997
P.O. NUMBER
Tom Goodman
1.H··SCHIPT!ON
DATE
05/18/2022
, TOTAL DUE
$598 .69
PROVIDE LABOR & EQUIPMENT TO VAC AND DISPOSE OF
DIESEL FROM TANK (4 HRS/ MIN)
JOB ORDER#
2205-047
****************************************************************************
**********05/1 8/22 (Wed)****"*****
Equipment Operator SIT (09:00 -11 :00)
Vacuum Tanker# 39 (09:00 -11 :00)
Fuel Consumption/Tropic Oil Inv# IN-819173-22
Fuel Consumption/Tropic Oil Inv# IN-819173-22
(Cost Plus 13%)
Disposal of Used Oil (Gallon/ Manifest# 45620 / No Charge)
SUBTOTAL
TAX
TOTAL
BALANCE DUE
~
· TERMS
f ! Net 30
QTY
4
4
100
Invoice
ENCLOSED
n ATE AMOUNl
48.50 194.00
95.00 380.00
21.85 21.85
2.84 2.84
0 .00 0.00
598.69
0.00
598.69
$598.69
Any questions, please feel free to contact Henny Zuloaga @ 954-625-2310 or email hzuloaga@jamenvironmental.com
JAM Env ironmental
250 SW 21 Terrace
Report Date:
d5_ I .IBJ 2b_ JOB# 2205-047
Ft. Lauderdale, FL 33312 DAILY WORK ORDER
Sun Mon Tue ~ 1--------------1
Thu Fri Sat Site Arrival :
Site Departure/Q_I V
Customer:
CITY OF DANIA BEACH
Customer Contact: THOMAS GOODMAN
Site Contact:
Phone: 757-375-7801
Project Location: Site Name (if applicable), Address, City, State, Zip
1905 Tigertail Boulevard, Dania FL 33004
Generator Info : (if different than customer)
Scope Of Work:
Provide Labor & Equipment to Pump out Diesel Tank
Title Start Time End Time
Unit# Staged Equipment Hours Mileage
EXPENDABLES/ MISC. SUPPLIES/ SUB CONTRACTORS
Item Description Qty.
Total Hours
Fuel
Price
JAM ENVIRONMENTAL
& VACUUM SERVICES, LLC
250 SW 21st Terrace, Ft. Lauderdale, FL 33312
Phone: 954-625 -2310 Fax : 954-625-2311
24/7 EMERGENCY RESPONSE
www.jamenvironmental.com
NON-HAZARDOUS WASTE
MANIFEST
TRANSPORTER IDENTIFICATION
EPA ID NUMBER FLR 000176842
Truck Number Customer Number 206-( l(," Manifest: '~GR20
I
EPA ID# ( IF KNOWN) ______ _
TELEPHONE : _-_ ~ ,r / {_ 1/
STREET ADDRESS iz ,--; h t. I / u/ ~ , /2 u CITY ({ (.. COUNTY STATE ZIP
TRANSPORTER LOCATION: JAM Environmental & Vacuum Services, LLC • 250 SW 21st Terrace• Fort Lauderdale, FL 33312
24 HOUR TRANSPORTER EMERGENCY CONTACT: 954-625-2310
HALOGEN TEST PERFORMED? □ YES □ NO □ PASS □ FAIL DEXIL □ PASS □ FAIL
U.S. DOT DROPER SHIPPING DESCRIPTON
SHIPPING NAME No. Type Quantity Unit Unit Cost Charges
Used Oil · Flashpoint greater than 200 degrees F
"t1"' trn ..,(
"I
Used Oil Filters __)
Non -Hazardous Us ed Antifreeze / Coolant
Non -Fl ammabl e Liquids , N.O.S. Waste
Fuels Non -Hazardous I Flash > 200 F
Residu e Last Co nta ined-Non -Combustible Liquid ,
N.O.S. Used Oils or Oily Water Non -Hazardous -Flash > 200 F
Storm Drain Debris N.O.S.
Non -Combustibl e Liquids -PCW ( Petroleum Contact Water}
Or Oily Water -Non -Hazardous I Flash > 200 F
Non -Hazardous Pet roleum Contaminated Solids -Soil / Sludg e
Or Absorbent · Flash > 200, N.O.S .
NOTES OR SPECIAL HANDLING INSTRUCTIONS :
EMERGENCY CONTACT 24/7 NUMBER: 954-625-2310
THIS COLLECTION WILL BE DOCUMENTED TO: 0 BROWARD COUNTY· PPRAQ O DADE COUNTY -DERM
IMPORTANT: Payment due upon receipt, service charge of 1.5% per month (18% Annual) will be charged on balances over 30 days.
GENERATORS CERTIFICATION:
I hereby certify that every effort has been made to collect used oil, used anti-freeze, used oil filters, used oil absorbent, and petroleum
contact waters in separate collection vessels and in accordance with all regulations and Best Management Practices as appropriate to my
industry. The contents of this consignment are fully and accurately described and are in all respects in proper condition for transport by
highway or ra i lroad accord i ng to applicable Federal, State or Local government regulations .
In the event that this material is found to be hazardous waste, I accept responsibility for its proper disposal and reporti ng, if required ,
under Federal. State or Local regulations, including any contamination by commingling . Unless I am exempt by a statute o r
regulation, I at~o, certify that I am n compliance with Section 3002 (b) or RCRA .--,/_ /_ ,,
Generator -Printed or Ty ·ed Name
l I
I -/
( I ~ , /I {
T ransporter Acknowl;dgment of Receipt of Materials
s;goaMe ~ / J Date
l ' iZ I-f /_ I j _;z I v ;?7,;'r_ '.,,G/;,.:.e "(/'
Signature Date