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5400 Legacy Drive,Cluster 11,B3 8008M-5740 r L DUNS NO. OSJ -651 FED.O NO. 39SOI CUSTOMER <br /> Plana,Texas 75024 WLvwsafery-kleen.GGm I FOR SERVICE CALL BRANCH MANAGER DOC.EXP. p"FDx T TDRY� - <br /> CUSTOMER NO. <br /> 09-545-10.1 L. ALPH TORRES 7/18/09 9-21 24. k1039149578 <br /> G1800 <br /> 0 0 0 3 — 3 7 5 1 — 6 3 : `E"aTEw PREwouseuwcE <br /> U <br /> TOUTER VPIC' ROD.;° W CHURCH ST STE B 9 000 NO 3314 3414 <br /> eTOCKTON CA 95203 LOCATION TAX EXEMPTION N. <br /> R 718501 <br /> RVI D E SALES RE CUSTOMER P.O.NUMBER `CUSTOMER PHONE AI TAX CODE DATE EOPTIPROD ORDERED SERVICE TAX C.O.M.S.TAX PRODUCE TAX <br /> ihO9 629-5070 05-195-8487 P tj 1. 09 1. 09 <br /> r SERVICFJSERIAL REMARKSI SALES TOTAL WASTE SOLVENTIDRUMS SERVICE GRANGE MMM Mu. PROMO <br /> OEM PRODUCT UNIT PRICE DUAN- CHARGE TAX CHARGE MIN. EENT 'OF °C TEAM SERMCETERM min moE NO. RELEASE NO. GMEH <br /> NUMBER <br /> I 0 8888 10344936 359. 0006 -UU - 0 u 6 lj6)151 ❑� <br /> 0 00008 1 9. 86 0. 00 9. 86 0. 00 0 ❑ <br /> 4lA- Wene ...< ❑ <br /> 5 ❑ <br /> B f ❑ <br /> T ❑ <br /> s <br /> B ❑ <br /> 9 <br /> 10 <br /> `. 11 ❑ <br /> 12 .. ❑ <br /> TOTAL-SERVICE/PRODUCTS 776F .�'�j -�U IPPROPRATE MArNxE cax9mM cuw Paan GE uoE ❑ "A°"E°R0°ENYGPawm d ClEaNarrl�'s't <br /> • J 1 ❑ ID LOCALMBNEM4 STC r.E'? <br /> XR000050930 CEW-MMR 751571 BOAR 4uEMux ss NBELMN ❑ ❑ AREDroMAGEA ❑ ❑ W <br /> `- USEPA.IAANSPORTERI].ID NO.- USEPA TRANSPORTEtl2-1D NO. GENERATOR 115EPAID NO. :GENEfiATOR STATE'ID NO. UIMPASEEMBLY ❑ ❑ EII[NTALUTERa+s sPExrsavENMEErs ❑ <br /> T GRIMM ❑ ❑ uGEP WECRnElrA . <br /> BNeux9eMRuclm O- <br /> Tzco MNERs IS. TDTn IA.wr I cEAnET TXAT xrv. <br /> 11.US DOT DESCRIPTION NCLUDING PROPER SHIPPING NAME,HAZARD CUSS,AND ID. TIP sN DGr NUMREn 5-6 IOS5 WASTE smFAMs AaEwlpr, J <br /> ONE OE THE FOLLOTRNO y_ <br /> GTEWR . �!! <br /> A AluN o�1r�� /��+ z�+DPOr3 V} �^I/� G_t�%/r D6111y//iflo mrc ort v Aor(ror) �H �UU /87639 ' Do DBs.e M o <br /> . an LaswloHm •Z <br /> f <br /> C. BRMRRTV.M2ENUBAEIRH �u <br /> _ H <br /> t <br /> D pE <br /> DESIGNATED FACILITY NAME AND ADDRESS CT - �� I cmn"THAT Aro MAIERML CMa of Has orcvmEo USA EPA IDN _ <br /> n , . , EIE1m IN THE QIAMCEE., CF TIE -, QE <br /> kNO etlOOfC! C'CEE C/c.Q i D U •, MASTEMA oR S. nIE HmcEss sENGPATmG ME STATE ID NO. W: <br /> N WABTEMATEPoALS.CARD <br /> SH ❑ TOTAL RECEIVED APPLY PAYMENE TO: FEST D. I AGIEE TO PAY TIE ABOVE OWWOES AND TO BE Rp140 BY METEPAISNIO TOTAL CHARGECON0111I SET FURTH ABOVE AND ON THE REVERSE 910E OP THS DOCUMENT. (FROM ABOVE) _ ..CK NUMBED ❑Tpp9YS BFAJILEl5A1E r'LEASE CHARGE MY ACCOUNT EOR MIS TRANGACnQY UNIESS OTHERMSE IICATED N THE PANIEM REGENEO BELlpE1 THE INONpML SIGNNG TM6 WASTE MINW❑PREroLGN4AwEurouoxs - LDR MESSAGE O,,c,EMS IXRY WRIONEEDT0 SIGN ANDBINDWSTOMER TO ITS TERMS. (FROM ABOVE)OICE♦ AMOUNTSINVOICED AMOUNTS 'LD augn .• P,m-m,ab.n•w,.w+.+ ..�e.°wm..n+m.aww.�,d..o.o..,..an.me+lm. TOTAL DUE <br /> ___— .. ...�_._ ____ .. ....— _ MANIFESTCODE SEO X' EL � WNOT WRREIN THE MEA BELOW 9 "t0 ' 0039149578 <br /> JisAR1 IN THE EVENTOF -,7� 0003-3751-63 -6 <br /> u <br /> . . -.••. EMERGENCY CALLusmmefs ANDouzeA Repe <br /> CUSTOMER.REFERENCE.. <br /> INFORMATION THIS AGREEMENT CONTINUES ON THE REVERSE SIDE _u <br />