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Safety-Kleen Systems, Inc. E947380 <br /> A Clean Harbors Company <br /> 601 Riley Road.East Chicago.Indiana 46312-1638 <br /> 881etf}IIIB911 Telephone(219)397-1131 Fax(219)391-6185 DATE <br /> I <br /> CUSTOMER'S NAME <br /> ADDRESS <br /> COMMODITY REMARKS Z <br /> ' ICARRIER <br /> LBS. GROSS <br /> �� �¢M <br /> C=1 N N D,`C U— LBS. TARE—DRIVER ON OFF <br /> eiI LBS. NET @ PER I.B.PRICE <br /> jp pr <br /> I I SHIPPER <br /> WEIGHER <br /> FAIRBANKS SCALE CAT.NO.083906 <br />