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TWE TICKET NO_ <br /> AMA <br /> Waste Management <br /> Industrial Services, Inc. DAYNV ' <br /> 4501 Califomia Coud Phone(707)Z 5-0501 TODAY'S DATE <br /> Benicia,CA 94510 Fax.(707)745-0510 , <br /> W / O# _— r" 4 ! -- <br /> 'USTOMERCONTACT `—z" <br /> ONIT P.O.#, •PROJECT COMPLETED YES OR NO <br /> OB DESC_ T&M BID 20K UNIT RATE CERT P/R CIRCLE ONE <br /> EMPLOYEE LUNMTHdR B NB OFFICE USE ONLY <br /> Hs.JU. CLASS EMPL.4 JAST/FIRST NAME START OUT STOP TOTAL TRAVEL ST I OT DT TRAY <br /> ]NMALS AFFIRM ACCURACY OF TIME AND NO UNREPORTED INJURIES OR INCIDENTS <br /> OFFICE USE ONLY OFFICE USE ONLY <br /> EQUIl'MENT QTY HRS COors rr EQUII'MENT QTY HRS CODS <br /> OTY <br /> K@ H/B PUMP# 2 WAY RADIOS 3041 <br /> KO H/B PUMP# LEVEL ' ENSEMBLE R/D <br /> r - BBL.VAC.TRY-# r` `�• SAFETY HARNESS 3134 <br /> BBL.VAC.TRK.# GASMETER <br /> TURBO-VAC.# BLOWER <br /> GUZZLER# HIGH PRESS.HOSE 3083 <br /> CAMEL# "AIIt/FIRE HOSE <br /> [,:=>s= GEAR-TRUCK# "AIR/FIRE HOSE <br /> GEAR TRUCK# 1"LOW PRESS.HOSE 3086 <br /> Cx-M-COMP# "VAC HOSE <br /> 'FLEX LANCE "VAC HOSE <br /> "FLEX LANCE 12V LIGHT BULBS 3111 <br /> 30 MIN AIR PACK-SOBA 3029 12V TRANSFORMER 3112 <br /> RESPIRATOR TYPE G.F.C.I. 3113 <br /> CARTRIDGES TYPE 12V LIGHTS 3114 <br /> DUCT TAPE 3166 M- DIAPH.PUMP <br /> W5QUEEN <br /> Q ..r <br /> y <br /> NOTES <br /> By audwrization of the time ticket the purchaser and his agent or representative agrees for the <br /> �- 1 <br /> purchaser,to the following terms and conditions: i; !' ,'� <br /> Payment tezrm net 30 days. f. <br /> WIyII5'�iEPRESENTAi' E <br /> {2)In the event that mllectimt and/or suit shall become necessary to enforce the provisions of the <br /> contract,or the payment due hereunder,the contractor aha4 be entitled to add to the amount due for .., -. „e:_::�: _J•``" """ <br /> all wnec6ane fees. CUSTOMER REPRESENTATIVE <br /> (3)1596 interest per uwnth will be charged on accounts over 30 days.Annual percentage irate 18%. <br /> INVOICE <br />