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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 />11 INV ICE# <br />• �• <br />OMER P.O. # ACCOUNT# <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 />800-424-9300 <br />CUSTOMER COPY <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 />U_°.T. 1IAIMOOVSWTSPN PLAGAFM PROYDED <br />TANK <br />❑ ❑ <br />YES NO <br />THs G TO CE"I-f THAT Ar Nwm NArow APE PROPMY <br />BEGINNING <br />DRUM DEPOSIT <br />DRUM CREDIT <br />OUR PUMP <br />W$SIFIE DESLPoBEO, PACKAGEO.MADEDARMELEOMAFCIN <br />PROPER CON MM FOR TRANFORTATON AC RDNG TO TIE <br />TANKAPPLIME <br />❑ YES <br />❑ NO <br />REGULAMS OF THE CEPARTAei OF TRANSPORTATION- <br />.T �ArwuamOt W sans <br />RECED BY <br />DATE <br />LOADED! DELIVERED BY <br />DATE <br />� PrK>A- taoo-uao <br />CUSTOMER COPY <br />