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,•fi•r 7. -. 1 to_5- . _ '<9y— . TAANSP_OA`.T-E.R <br /> 24NUMBER <br /> ErnIlli 80123SERVICE <br /> 545-11KLEISEt41- <br /> 01, <br /> 01 4820-6 TWL&R REQS 0-220 <br /> �. <br /> ... .- <br /> SWIFT <br /> uT7RAy.NNSPI]y;RTATION Ca e f7— <br /> OWN <br /> 7— , <br /> �Ci4 Si�f i•a�-FQi , _:J _ 1'_:-.,. '-` - 'l•�-r.1 _ ... r � - _1 '# Ja d�-?!Y __ <br /> I% <br /> STt1CKTC3l�- , CA 96205 _ l <br /> ..r <br /> t 1 <br /> SEAVIC! OCU <br /> A _ SALESMEN5.N0. SALES TAX EXEMPTION NUMBER SALES TAX CODE PREYuws FOR0 DA <br /> CODE BALANCE - OVER fi0 DAYS <br /> L O� C C6—iyJ—t34LiT 113. bd <br /> a CfiiAJN '' CUSTOMER P.O.NUMBER GE12 , P0Et O.C. SVCP PRM PS1.SERVICETA)G C.O.M.S_TAX PRODUCTTAX <br /> SERVICE SALES TOTAL soLVErrt SERVICE c"^"GE GLLOE un. <br /> SERIALNO. SEQNTERMnAQ sereEDumDAT> REMARKS 012-7 <br /> SERVICENO.. <br /> CHARGE TAX CHARGE CLEAN EPENT TF3tM D(ZINRUlI YYY� CODE �- <br /> ; °301-4U6Q�" 105s50 S.id 111 .63 05 <br /> WOO POOR C'_:3L5.V SLE q •`d _ pYEES no <br /> TOTAL MdduNE mNDrtaN A40 Ei L1 ❑ IU4KME 'LY C�iCLhRTJ —L`1 ❑ <br /> SERVICE SECTION 105450 d a 1 d 113.68 sOLEANUNESS '� ❑ LM&LF ME Y05T!CN9 <br /> R;.-ALM��x `p 1:1 A r-Lr67 TO M!1}.•E \�•--, ❑ <br /> + PLEASE CHECK APPROPRIATE BOXES ON RIG ---r to of ASSEMBLY ❑ e.�E'JC--S c=r ❑ r�FTAKESOL�� 0 ❑ <br /> ( HT} coNDrr!oN CF�,.•r.s�.r� <br /> , <br /> Lily3w°348 2 ,. K �, 114- <br /> 11-US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME,HAZARD CLASS,AND ID.) 12-�"'INEAS 1& TOTAL u_um �SK DOT NUMBER CONTAINER <br /> NO. I TYPE QUANTITY WTNOL SITE <br /> BASTE COMBUST13L-- L14UI01AsUs-is � r3 ] I CEaT,F-r �w <br /> MY TOTAL WAS <br /> ST.PETAGLEUM NAPHThA ) 'NA1933 P,:1111WffHIN <br /> 1I1 1 LM ! ±a 53� — WITHINs AR <br /> 1 ONE O <br /> x001 L0Q6' DOG9) GOl� 0:735 UO3J L70�rO) THE PouowlN <br /> CATEGORIES. <br /> y GTO F <br /> sNITIALS. I- <br /> aT.]LBS.TO <br /> 2.200 I-MMOf<Tli L <br /> INITIALS <br /> GREATER TFLM <br /> L200 LB&AKW R <br /> { <br /> SIT=L'z <br /> DESIGNATED FACILITY NAME AND ADDRESS ��+r C �-"^�Lclr 0 u �'• USA EPA ID NO. LA 10 0 u 3133 o 5 � <br /> 5050 SALIDA BLVD SALIDAV CA 953b3 STATEIDNO.U Ll CA ilv a j b3 L <br /> MSDS QUANTITY SALES L <br /> 7PRO—OUCTMBER DESCRIPTION G}yEIM PftM�E UA11 DEL(VEREV AMOUNT TAX LINETOTAL c <br /> 4 ` <br /> ❑ L <br /> ❑ C <br /> C3 S. <br /> ❑ t <br /> CASH ❑ TOTAL RECEIVED APPLY PAYMENT TO: TOTAL PRODUCTS AMOUNT <br /> CHECK NUMBER ©TODAY'S SERVICEfSALE - <br /> CHARGE MY ACCCUNT FOR THIS TRANSAC• TOTAL SERVICE AMOUNT <br /> ❑PflEVKK1SBALANCE ASFOLLOMYS TION UNLESS OTHERWISE INDICATED IN THE <br /> PAYMENT RECEIVED SECTION.THE REGLAMA- (FRAM ABOVE) I {C ,� <br /> ,1 <br /> TION AGREE,`,TENT, ADDIT:Ot+AL TERI.IS di:D <br /> INV.$ AMOUNT$ CONDITIONS, AND OTHER I1dFORtA.3TI0N AP- _ <br /> PEAKING ON THE REVERSE SIDE ARE MADE A �F}�I-AL DI.IE <br /> PREVIOUS PART HEREOF. - <br /> CREDI7CARD NO, ?eemSalMzev►na+adma!enuitiyLxery us+9.as ee4FM .�a a}eTanozz�a,aa <br /> CREDIT CARD NO. EXR DATE <br /> AMD( <br /> X :i 14AXJ X X XC C VIS <br /> X' X \ <br /> �v/ Y <br /> P6rY p / I! �I� h',Z <br /> CONSUMER REFERENCE Name r l <br /> INFCRMATION <br /> SEE REVERSE SICE FCR I`.1PC9TA.NT INFORA,IATICN <br />