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General Petroleum <br />REMITTO: 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 � <br />• • . <br />CUSTOMER <br />P.O. <br />• or <br />DEL. TICKET i • • <br />BILLING ADDRESS: <br />TERMS: <br />SHIPPED TO: <br />COUNTRY CODE: <br />FOR CHEMICAL EMERGENCI <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 [I <br />TF [:1 <br />OPE] <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 />OTFIER <br />WATER DETECTED? <br />TEMPERATURE <br />GRAVITY <br />0 0 T HAZARDOUS MATEFR T4ACRRM MOVDED <br />TANK <br />❑ YES ❑ NO <br />W 6 TO OBrI -w,Trmv[wg9WERutsXXPURY <br />BEGINNING <br />DRUM DEPOSIT <br />DRUM CREDIT <br />OUR PUMP <br />LAMFIED, MERM F)kWGED MRRiDANiOL &MAAMER <br />PROPS cORa FGR T11MMAT AOtORMNG TO TAE <br />TANK <br />❑ YES <br />❑ NO <br />*PRc, M REGUTroMS OF W OFARTSeROF TR,vG�"-,M <br />NitiEEwxracAH�rirmoiswvavms <br />DECEIVED BY <br />DATE <br />LOADED I DELIVERED BY <br />DATE <br />N('lFNff l EMEA(iENOY PHONE Atp-a]a4)uo <br />CUSTOMER COPY <br />