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,�` Waste Management 11LV1h 11l l�C l 1V V. = s., <br /> ■ Z Industrial Services, Inc. DAY r`r' <br /> 4501 Caldomia Court Phone(707)745-0501 TODAY'S DATE <br /> Benicia,CA 94510 Fax(707)745-0510. <br /> i f }• W / O# . <br /> cusTOMER v � CONTACT <br /> - VTT P O.# PROJECT COMPLETED"YES OR NO <br /> OB DESC: T&M BID 20K UNIT RATE CERT PIR CIRCLE ONE <br /> EMPLOYEE LUNCiMM B NB OFFICE USE ONLY <br /> INIT. CLASS EMPL.# ` LAST/FIRST NAME START OUT STOP TOTAL TRAVEL ST OT DT TRAY <br /> INITIALS AFFIRM ACCURACY OF TIME AND NO UNREPORTED INIMES OR INCIDENTS <br /> EQUIPMENT QTY H12S OFFICE USE ONLY EQUIPMENT TY HRS OFFICE USE ONLY <br /> CODES - Q CODES OTY <br /> K @ H/B PUMP# 2 WAY RADIOS 3041 <br /> K@—H/BPUMP# LEVEL ENSEMBLER/D - <br /> S% BBL.VAC.TRk.# r o A SAFETY HARNESS 3134 <br /> rTr' BBL.VAC.TRK.# GAS METER <br /> TURBO-VAC.# BLOWER <br /> GUZZLER# HIGH PRESS.HOSE 3083 <br /> CAMEL# "AIR/FIRE HOSE <br /> t _= `;GEAR TRUCK# "AIR/FIRE HOSE <br /> GEAR TRUCK# 1"LOW PRESS.HOSE 3086 <br /> C.F.M.COMP# "VAC HOSE <br /> "FLEX LANCE ,.VAC HOSE <br /> 'FLEX LANCE 12V LIGHT BULBS 3111 <br /> 30 MN AIR PACK-SOBA 3029 12VTRANSPORMER 3112 <br /> RESPIltATOR TYPE G.F.C.I. 3113 <br /> CARTRIDGES TYPE 12V LIGH'T'S 3114 <br /> DUCT TAPE 3166 M- DIAPH.PUMP <br /> VISQUEEN <br /> �r•'�� �-�L,t� <br /> NOTES <br /> By authorization of the time ticket the purchaser and his agent or representative agrees for the <br /> purchaser,to the following terms and conditions: YF q <br /> '1 Paymeltt terms:net 30 days. " - <br /> : ;:.) WMIS REPRESENTATIVE <br /> ;i j In the event that collection and I or suit shall become necessary to enforce the provisions of the <br /> contract,or the payment due hereunder,the contractor shall be entitled to add to the amount due for <br /> all collections Gees. CUSTOMER REPRESENTATIVE <br /> (3)1.5%interest per month will be charged on accounts over 30 days.Annual percentage rate 18%. <br /> INVOICE <br />