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«r 1301 Gervais Street-Suite 300 DUNSNO.06-397-Ml FED.IDNO.75-217892B SCHERJ� - <br /> �F,,�:_.- <br /> Columbia,South Carolina 29201 FOR SERVICE CALL BRANCH MANAGER DOC. P. SERVICE wEEx T R=RY <br /> ShIyllcoo. CUSTOMER NO. ve 800-545-3358 TOM ROLLINS 00-37 XX iogq�2C1J1 <br /> 2 4 6 3 2 9 CamlT PREVIOUS BALANCE <br /> BAL OVER W DAY <br /> DEPUY ORTHOTECH BUSINESS CHAIN --- SVC.P/C PROD.P/C <br /> 1905 N. MacArthur <br /> 09 <br /> Tracy, CA 95376775 CATION TAX EXEMPTION NO. <br /> SERVICE DATE I SALES REP.NO. CUSTOMER P.O.NUMBER CUSTOMER PHONE @ TAX CODECODE 0 SERVICE TAX C.O.M.S.TAX PRODUCT TAX <br /> 9/12/001 8614 1 1209-832-5200 <br /> 01� SERVICE/ <br /> PRODUCT DUAN. SIZE PROFILE W OTHER MANIFEST NUMBERS SITE <br /> I CERTIFY THAT NO MATERIAL CHANGE HAS OCCURRED EITHER IN <br /> 88844-- 2127691 PROCE SRGENERATING THE WASTE MATERIALS. I AGREE TO PAMATERIALS OR IN Y <br /> 88844 2127691 THE ABOVE CHARGES AND TO BE BOUND BY THE TERMS AND <br /> CONDRIONS SET FORTH AND ON THE REVERSE SIDE OF THIS <br /> jDOCUMENT.PLEASE CHARGE MYACCOUNT FOR THISTRANSACTION <br /> (UNLESS OTHERWISE INDICATED IN THE PAYMENT RECEIVED <br /> SECTION. THE INDIVIDUAL SIGNING THIS DOCUMENT IS DULY <br /> AUTHORIZED TO SIGN AND BIND CUSTOMER TO ITS TERMS. <br /> 'This is to certify tnat the above-named materiels are property classified, <br /> Packaged,marked and labeled,and are fnpproppeer condition for banspartetbn <br /> according to the apPlicable regulations of tite Department of Transportation.' <br /> CUSTOMER CODE: /� ,�/ <br /> WASHOUT r ,7 ./.Z/ y-O/Go/"/b <br /> f rmt Customer <br /> l <br /> ustomersA died Representative <br /> Were New Profiles Generated? BATE: <br /> USE,phST1 .:% . A, ; 23 Ffk€t7,�;i ..,; : :'. ,5T <br /> SCR 00 7 591 CAD -'Ai <br /> ATERIALS Steel Poly Fiber 85 OP Manifest Prep LABOR <br /> OT ,,,.,, Cubic Yard Box EPA Labels dly Name Date In Out In out Total <br /> IExemption Box DOT Label i� O <br /> r„m m 117--r— <br /> Cylinder Box PPE-D <br /> ICT Drum Pump PPE-C <br /> )OT Drum Linter PPE-B <br /> ICT Absorbent sn.e PPE-A <br /> A16 OT 6, OTHER SERVICES <br /> 116 CT Haz Cat <br /> )OT Sample Collection <br /> I CT Inventory <br /> OT v,.. EQUIPMENT COMMENTS qj i,e-�o <br /> CT Supply/Boblad Trude „®, <br /> Fork L8t <br /> Other <br /> Other mow qci UQ5 <br /> Page of <br />