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General Petroleum <br />REMIT TO: P.O. Box 31001-1235 <br />Corporation Pasadena. CA 91110-1235 <br />19501 S. Santa Fe Avenue Customer Service:(800) 659-5823 • Fax: (310) 356-2624 <br />Rancho Dominguez, CA 90221 Credit Inquiries:(310) 356-2400 <br />INVOICE A ®® <br />• •CUSTOMER P.O. • or <br />DEL. TICKET A - • <br />BILLING ADDRESS: SHIPPED TO: <br />TERMS: COUNTRY CODE: <br />FOR CHEMICAL EMERGENCY <br />Spill, Leak, Fire Exposure or Accident <br />CALL CHEMTREC - DAY OR NIGHT <br />800-424-9300 <br />nI 110 MIA00 rtnov <br />FOR COMPANY USE ONLY <br />RT ❑ <br />TF ❑ <br />OP ❑ <br />ARRIVED LOAD POINT AM DATE <br />COMPLETED LOADING AM DATE <br />TIME SPENT LOADING <br />TRUCK # <br />B/L # <br />PM <br />PM <br />ARRIVED DESTINATION AM DATE <br />COMPLETED UNLOADING AM DATE <br />TIME SPENT UNLOADING <br />EXCESS TIME <br />PM <br />PM <br />END <br />GAS <br />DIESEL <br />OTHER <br />WATER DETECTED? <br />TEMPERATURE <br />GRAVITY <br />o.or wswaoous umaus nurNmswoo <br />s�w[n <br />TANKsr <br />❑ YES ❑ NO <br />as �n <br />THIS 6 TD CEM TPAT ABOVE NAMED MATERIALS ARE PROPERLY <br />BEGINNING <br />DRUM DEPOSIT <br />DRUM CREDIT <br />OUR PUMP <br />CUS9-ffD, NSCROU, RAW=, MARI(EDANDMLE MARE IN <br />PROPER ONDMON FOR TRANSWATIOv AcMMG to THE <br />TANKAMICQL' <br />❑ <br />[]NO <br />REGUATIONS OF THE OEPARnAEM DETWISPORTATION <br />0 12 <br />YES <br />wT¢F&tra AWARN0USAa7E%U <br />RECEIVED BY <br />DATE <br />LOADED I DELIVERED BY <br />DATE <br />ravi elAertoe+icr rnoNe aowaaawR <br />nI 110 MIA00 rtnov <br />