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.[1�'1ElLCA1\ FUEL�•NK l{} ��/� <br /> No. <br /> RECYCLING, INC. 3� TANK DISPOSAL FORM <br /> 2202 South Milliken Avenue ���c Date: ( 19'r f <br /> Ontario, CA 91761 Job # <br /> (714) 947-2888 <br /> P. O. # <br /> CONTRACTOR: <br /> ADDRESS: <br /> JOB SITE: <br /> 1 <br /> ADDRESS: <br /> DESTINATION: A.M.R. 2202 S. Milliken Ave., Ontario, CA 91761 <br /> DATE TIME PROJECTED TANKS ORDERED BY: LIC.NO. <br /> TIME IN: <br /> SPECIAL INSTRUCTIONS: TIME OUT. <br /> i <br /> TANKS RECEIVED <br /> OTY. GALLONS TYPE NETTONS TOTAL <br /> F'S' <br /> 280 ❑ ❑ .14 <br /> 500 ❑ ❑ .21 <br /> ^/ ( 550 ❑ Cl .24 <br /> 1000-12 ft. ❑ ❑ .44 <br /> 1000-6 ft. ❑ ❑ .61 <br /> 1500 ❑ ❑ .87 <br /> _ 2000 ❑ ❑ .97 <br /> 2500 ❑ ❑ 1.14 <br /> 3000 O ❑ 1.32 1 <br /> 4000 ❑).fl 1.64 <br /> 5000 ❑ ❑ 2.42 ! <br /> 6000 ❑ ❑ 2.84 <br /> 7500 ❑ ❑ 3.26 <br /> 8000 ❑ ❑ 3.44 <br /> 9000 ❑ ❑ 3.82 <br /> All fees incurred are per load unless specified. 10000 ❑ ❑ 4.33 <br /> Termsare net 30 days from date of invoice. 12006 ❑ ❑ 4.93 <br /> Contractor's signature represents acceptance <br /> of terms for payment,and confirms that tank NO.OF TANKS TOTAL NET TONS <br /> removal complies with State laws. <br /> I <br /> CONTRACTOR'S SIGNATURE -F — FIBERGLASS 'S—STEEL 105 <br /> ' CERTIFICATE OF TANK DISPOSAL I DESTRUCTION <br /> THIS IS TO CERTIFY THE RECEIPT AND ACCEPTANCE OF THE TANK(S)AS SPECIFIED ABOVE.ALL MATERIALS SPECIFIED <br /> HAVE-BEEN COMPLETELY DESTROYED FOR SCRAP PURPOSES ONLY. <br /> AUTHORIZED REP. DATE <br /> GENERATORCOPY .. <br /> CCT 3 1988 <br /> EN p 1 ITII SERVICESLTH <br />