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Safety-Kleen of California E 0 0 5 212 <br /> j A Clean Harbors Company <br /> 6880 Smith Ave., Newark,CA 94560 <br /> �fetqNleen® Telephone(510)795-4400 Fax(510)796-2559 DATE �?�' <br /> CUSTOMER'S NAME CX Ck <br /> ADDRESS Pvi G (5k6sl(00 <br /> COMMODITY <br /> REMARKS <br /> CARRIER Sc,ce I,I t\�Qln <br /> 'S CEJ dj <br /> CC, 0 C� �, LBS. GROSS <br /> i 0ca'. r~ 0 LBS. TARE—DRIVER ON OFF <br /> LBS. NET @ PER LB.PRICE <br /> SHIPPER <br /> FAIRBANKS SCALE CAT. NO. 083906 WEIGHER <br /> 02-10194(08/17) <br />