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- <br /> KiV <br /> _ <br /> MID—VALLEY/HIGH SIERRA BILL OF LAD IPTG # ii . _:-:,1 <br /> P.13. BOX 906 Err s�JUMSER CAL?.7,(.}%;4 <br /> TRACY, CA . 95lm. <br /> PICK—UP SHIP TO: DATE —07—C,, --- <br /> f C NAME �, ' NAME CUST �irJ i <br /> [J I // M.V. /H.'S. -Z s <br /> I T 1 ADDRESS I` gnu ;r:= I FEFrj� t <br /> '3t_ -A TDL,=iC QIr_Afi SO'L,117 L to <br /> 1' E �CI TY STATE {F' ICIT':' STrATE ZIP Ft�rsrJ <br /> �. ` Lc `� Li� j CA 9C4<_} iC�` '(�/� <br /> i .— <br /> PLEA�---)E PAY FROM THIS INtlOICE TERMS: <br /> 3 11'"�:G DUCT F'!;I CE p A r•IO i j i'3l � <br /> HD AIMED USED OIL FILTERS 55 GL OR �—�_� 4 "} 2/_0 I <br /> 1 r RUSHED UNCFUS:{EG ENPT`r <br /> i TOTAL <br /> CHARGES, <br /> 1 <br /> I CERTIFY THEN THE INFORh1ATION AND THE ArIO!JN`!'S S'IOE-N ADOv 41RE TP.U= rrIND <br /> CORRECT, AND THAT THE USED OIL FILTE�:S 4='FiL�1iI= •T TO ;iTO_.= r^I-1_ E':' PEc cL_Irir <br /> tlEETS THE LIEF I N I T I ON OF USED OIL FILTERS RljF,��.�6HT TO C:AL I Ft�RO I A :MEAL T H <br /> AND SAFETY CODE SECTION 25250. 1 , UNLESS OTHER IaJ I SE NOTED. THIS FURTHER <br /> SERVES AS NOTIFICATION THAT-•THE ABOVE !,JASTE IS BANNED FROM,LAND 'D I SPOSAL <br /> F ERSUANT `TO SECTION 66263.7( 10)�) OF TITLE 22. 1 ALSO ACKNOWLEDGE THAT. I <br /> HAVE READ AND AGREE TO THE TERM,; AmD corJT I T I ONS GET FORT;-i ON THIS FORM . <br /> l�F'I` E �lcf;F_ O,1TE <br />