Laserfiche WebLink
11/05/2009 16:02 FAX 209 835 7136 CHP TRACY AREA a 003 <br /> 1P 0.0. BOX 449 <br /> Colton, CA 92324-0449 <br /> FILTER!IZE . ING 1-800-698-4377 <br /> S • E • '• . -`C • E • 11 <br /> / N C "PRESERVING OUR NATURAL RESOURCES" <br /> t <br /> 3 r <br /> Date: / 3 Invoice Number g 6 7 44 <br /> Customer Number. <br /> Customer Name: Phone#; Bill To: Phone#, <br /> CALL' x-266 7RAC i t 9-835.84?U SAb{F' <br /> Site Address; Billing Address: <br /> 385 WEST GRANTLNT ROAD <br /> City,State,Zip Code: City,State,Zip Code: <br /> TRACY, t:A <br /> Sales Rep. Site Contact C.O.D. On Account Purchase Order# Billing Cnnlatt Requested By <br /> M A, <br /> Quantity Material Dcscription Manifest Number Unit Price Total Price <br /> Pit' 1 X 55 LSEJ GAL FILTERS 2MMOM <br /> •J! J.. l L L V i _ <br /> :1,S U !. ' It?1LG• 1 Y L 1 'S_V,t+1 <br /> Facility Name: Filter Recy ling Services,Inc. Time Left Plant: <br /> Address: I80 wcst* •Avenue-Ri [o';CA 3I� Job Start Time: <br /> EPA ID Number. C D982 1 j j \ Job End Time: <br /> Drivers Signature:l' '1 Y rj ,/� ,l,"; V\,, .t, -� Plant Return Time: <br /> It is Generator's rbsponsibility to correctly identify chemical composition. If matcrial is rejected by <br /> disposal site,generator agrees to pay all testing&transportation charges. Invoice is subject to a 1.5% Subtotal <br /> monthly interest rate,with net 30 day terms from date of service. Sales Ta:: <br /> Received By: ,�,� Print Name: Total <br />