Laserfiche WebLink
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 Inquihes:(310) 356-2400 <br />INVOICE ! <br />CUSTOMER P.O. # <br />DEL. TICKET k • • , <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 />500-424-9300 <br />CUSTOMER COPY <br />FOR COMPANY USE ONLY <br />RTE <br />TF F-1 <br />OP❑ <br />ARRIVED LOAD POINT AM DATE <br />COMPLETED LOADING AM DATE <br />TIME SPENT LOADING <br />TRUCK11 <br />1 BIL # <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 />;;OO T„„"'=AAO01"TB°"C'"DS°"°w® <br />TANK <br />❑ YES ❑ NO <br />THS IS To CFATRr W *DVE WO MEW ME PROKE LV <br />BEGINNING <br />DRUM DEPOSIT <br />DRUM CREDIT <br />OUR PUMP <br />arsuFRo.oEscA�EFn, eAau�o, uAn�oaMD IaaEIEnAMDAr+f a+ <br />FRTS CON" FCR rwv+9wAm+ ACMNG To Tq <br />ARICa--. 9ODUTpM OF THE DEMRTMEMTOF7RWORTATM. <br />TANK <br />❑ YES <br />❑ NO <br />NEwrrffnwznrmouSAaiEwrAs <br />WCEEV Cf YPHONE �a 2"= <br />RECEIVED BY <br />DATE <br />LOADED! DELIVERED BY <br />DATE <br />EMEPAD N <br />CUSTOMER COPY <br />