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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 />CILLINU AUUHtSA: anlrrw Iv. <br />TERMS: <br />ARRIVED LOAD POINT AM DATE <br />PM <br />ARRIVED DESTINATION AM DATE <br />END <br />TANK <br />BEGINNING <br />TANK <br />RECEIVED BY <br />COUNTRY CODE: <br />FOR CHEMICAL EMERGENCY <br />Spill, Leak, Fire Exposure or Accident <br />CALL CHEMTREC - DAY OR NIGHT <br />800-424-9300 <br />CUSTOMER COPY <br />FOR COMPANY USE ONLY <br />RTC] TF❑ <br />OPO <br />COMPLETED LOADING AM DATE <br />TIME SPENT LOADING <br />TRUCK N <br />PM <br />_ <br />IS/L# <br />TIME SPENT UNLOADING <br />EXCESS TIME <br />COMPLETED UNLOADING AM DATE <br />PM <br />WATER DETECTED? <br />TEMPERATURE <br />GRAVITY <br />DO. LHALARUOU5MAI ERIALSPLACARDS PRICYIDED <br />❑ YES ❑ NO <br />ff SHIPPER ... CARRIER . <br />TMSWrocBrt:nr.ATTrt Aeon NAN4D w-RpAs.aR RaJF�RY <br />r+wavl+EO. OcuRioRO. Ruwom. uARACO ANO ueEtEn ANO Arc <br />IN RRovER CONaWN FOR IHASPORfATION ACCO— ro THF <br />DRUM DEPOSIT <br />DRUM CREDIT <br />OUR PUMP <br />❑ YES ❑ NO <br />APRIIC,N F AE,UUTTWS O:TNE IIEAWiMDITpR iRiN5R6'IiA1KIN <br />me Rva aR,NUAom xNA wws <br />CUSTOMER COPY <br />