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General Petroleut <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 X <br />®CUSTOMER P.O. # or <br />NEEMCDEL. TICKET X • • <br />BILLING ADDRESS: <br />TERMS: <br />SHIPPED TO: <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 />FOR COMPANY USE ONLY <br />RT❑ TF [I OPD <br />ARRIVED LOAD POINT AM DATE <br />COMPLETED LOADING AM <br />DATE <br />TIME SPENT LOADING <br />TRUCK it <br />9/1- # <br />PM <br />PM <br />ARRIVED DESTINATION AM DATE <br />COMPLETED UNLOADING AM <br />DATE TIME SPENT UNLOADINGE,YCESSTIlyf <br />PM <br />END Gras DIESFLOTkER <br />PM <br />TANK <br />3EGINNING <br />WATER DETECTED? <br />❑ <br />TEMPE RATURE <br />ANK <br />YES OND <br />GRAVITY <br />O.O,LW1Zgpp <br />DRUM DEPOSIT <br />7ERXS PLICA <br />BySR®RER WNFp WSPIi0'AUEO <br />=c BY <br />RUM CREDIT OUR PUMP <br />NS 6 TO CUM TR4T11,E r,W j <br />�y <br />DATE LOA,pEDlDELIVEREDBV <br />❑YES ❑ <br />�MATERkS W� ANDAWgj <br />°PP`r`Ae.FREaU'r;++sc�aRAT+a <br />NO <br />DATERbi+t <br />H <br />ii acwts.e7w <br />CUSTOMER <br />