|
Payless Auto Repair Inc. 26 N . Cherokee Ln . Lodi, CA 95240
<br /> SERVICE ORDER
<br /> FOR SENYICE CAG SERVICE ORDER FOR SErtVIGE CoII
<br /> YC rmpvary my O'YCn OFE�r' 9ERNGE d10ER N0
<br /> a
<br /> 'YP „b q 9ERVCEdEOERNO �,
<br /> `
<br /> .•1
<br /> A39'.4 N CN EI CA"22 A53UR"ENYIFONMEN?ALBEW✓ICES '..J SSi N 'C i>AT'J C 9^f]'
<br /> IJdISOUTX SR4COMPrON GAlP j
<br /> n]
<br /> JHOS�IDBBSNW
<br /> .. TRANSPORTER EPRl Gepy[9Yi]0]G -
<br /> CUSTOMER. PURCHAEEORMFI ROU TEVI RVCKF CONTACT NAME 00.pER TPI(EN BY LUSRHAERA PORCHASEONDES, TRUCKi CONTAC?NAME ORDER TAKEN BY HALIDESWTE flEpNRE. p4TE EMEFEO NC%i SERNCE OAiE NSLGMF0.EPAP ppTEgECU DATEEMEELF NE%i SEFVICE IA?E LUSICMER EPAA MANIFEST,
<br /> MNN ES 4
<br /> PARii GESCgIP11pN PARA DESCHIP➢ON QTY UNIT PRICE IQTY PFU TDTRL
<br /> STY UNITPRICE QTYPIU TOTAL
<br /> TOTAL �I
<br /> rprAL .WIRECI_ CHECx4_ PLEASE PAY FROM THIS SERVICE ORDER
<br /> LSH RFz,D: CHECK a__ PI_F?.SE PAY FROti11}IS SERVICE ORDER WASTE DISPOSAL INFORMATION
<br /> WASTEOIEPOSAL INFORMATION
<br /> LA USWATE,LH OtUBEOdLAN%EOdLS)'NOP"CARPSREOUIREO- STATE CODE 221
<br /> GGG NONRCRAHAL RDpUS WASTE. OVIOIUSL-0OIUMt%EOd$)'NO PALAR�S HEOUIRED' STATE L OE 31SN"
<br /> NgYRCPAXA1ARppVS Q WASTE UOdO(ENE(LENE GLYLOLSOLUTIONSI'NO PL ARDS RECJ:RED- STATE CODE_ I
<br /> OTS W)STE LIOUIOIEfHYLENE GLYCd50 ' STATE CODE_SATS6ARELYCIJNG: ?3419 Ylrohm RmUGm .UMen GH LA 9lSfI't.S10-;E;...UMSPN_� SmA ORUME: FACRITY CEO E?aP}YDRUMS:_ FAdUTY DSC_
<br /> GENEFRTOR WASTE LER➢FICATIDN GENERATOR WASTE CERTIFICATION
<br /> PLEASE CHECK THE APPROPRIATE SOX ,,,,, m PLEASE CHECK THE APPROPRIATE BOX
<br /> nn���•`.• lWffite all9eneraror/g6temeT MUST OIetlt ONEoftlre foffwing NNW boxes) oilg¢areratpr/cUytomel MUST dxOL ONE of the felloWngthreE tiD%e5)
<br /> >..ew..........:..�.:.1°:,'„r"".....���.............� .w�...........<W.va,..........�. .....,....+...,.a.� I ...,«...a....m..M..d,..,s�,..omw,.e,..w.........y.... poor....,.......,.,.,.,,.........,....i 7..�..........,�,....o..
<br /> Raw CAU JeRer�t�rsAomemMUS?rea efolbwngtAandtlleek Oleasmtlrte r.)�ws wl (ulgenEra[ors AamMMST Fead ISS FWk Wng text and MS*Ne assooatei bo%e)�v^•
<br /> � ......»a ..w.�....>^....,.,... .,r�.,,.,.,..,.m...,........,.........n W...w-.,ew..b�` v`^.www w �o-..... ,........a,.a..�,.,a...,......m.....a.,...,,.,.w.�a.a�....,.,„.u....�nw..ew�...rm.
<br /> .sr
<br /> 9�.o,re
<br /> Dale Mver EiBRalum py Datc Odver Ei9ay-See,
<br /> Pnm NMNp Pmll Name
<br /> ” PAn[prhen Kau � I / 'y Pnnl QHven Nano.
<br /> 1 / �
<br /> Page 3 of 4 Photo taken on 12/31/2015.
<br />
|