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^ti AL �a P `/ TFUEL ANK NO <br /> ECYCLING�_C{j� RECYCLING TANK DIS P SAL FORM <br /> P.O. Box 728, Stockton, CA 95201 <br /> Phone: (209)478-8583 Date: <br /> Job #: _ <br /> CONTRACTOR: P.O. # <br /> ADDRESS: p, O <br /> JOB SITE: o s <br /> mow. <br /> ADDRESS: <br /> DESTINATION: KMR 3210 MUNFORD, STOCKTON, CA <br /> TE TIME <br /> _ PROJE TED TAytfS <br /> =r5' ,��• ORDER LIC NO <br /> SPECIAL.INSTRUCTIONS: <br /> 'Air— cn <br /> r 1 w , <br /> / S <br /> Pq,r / &-0-0 w+v G 4l S <br /> `1 IN <br /> COMMO ITY(SPECIFY) <br /> QTY. TANKS RECEIVED <br /> GALLONS TYPE NET TONS TOTAL <br /> F' S' <br /> Services Rendered ' Cast 280 ❑ ❑ 1s . <br /> 500 13 550 22 <br /> 13 13 <br /> Disposal Fee 100.00 1000-12 ft. 13 [3 .25 <br /> 46 <br /> 1000-6 ft. E3 E3 .63 <br /> Extensive Loading Time 1500 ❑ E3 .90 <br /> 150.00 2000 ❑ ❑ 1.00 <br /> Disposal Fee with Permit 2500 ❑ 13i 18 <br /> 250.00 3000 ❑ CI 2500 <br /> Fiberglass Tank Disposal Fee Per Tank 200.00 4000 ❑ E31.70 <br /> 5000 ❑ ❑ 2.50 <br /> Cancellation Fee 7500 8000 O❑ 2.92 <br /> 250.00 8000 3.36 �. 3b <br /> Other Specify 9000 ❑ ❑ 3.55 <br /> 10000 ❑ ❑ 3.94 <br /> TOTAL CHARGES $ NO ❑ ❑ 4.47 <br /> . F TANKS TOTALT <br /> QQfyy <br /> All fees inretl are per load unless specified. ( T SLs <br /> Terms are net 30 days from date of invoice. *F = FIBERGLASS <br /> 'S-STEEL 105 <br /> THIS ISTt <br /> MATERIALSTIFY THE q T AND ACCEPTANCE OF THE TANK S)R SCSPECIFIED ABOVE.ALL <br /> PECIFIE BEEN COMPLETELY DESTROYED FCO,R SCRAP P�URgPOSES ONLY. <br /> A THORIZED REP. 4 _ � _ 0 / <br /> CONTRACTOR COPY DATE <br />