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I <br /> jaste Management <br /> industrial Services, Inc. DAY /4LfL2.4 ' _ <br /> 4501 Califomia Court Phone(707)745-0501 TODAY'S DATE z. Y._ 5'� � <br /> Benicia,CA 94510 Fax(707)745-0510 <br /> W / O# <br /> fWSTOMER 54 0 ;Ii:frt�d� CONTACT <br /> UNU P.O.# PROJECT COAVLETED YES OR NO <br /> OB DESC: T&M BID 20K UNIT RATE CERT P/R CIRCLE ONE <br /> <<.:d,�' �•.3��k;X, ,t..CF�.� '�i'r=i�rt3?-+ 'a!,°l�`�' (�rt;,i;eo� - <br /> EMPLOYEE LoHa;,DM B NB OFFICE USE ONLY <br /> INTi'. CLASS EMPL.# LAST/FIRSTNAME START OUT STOP TOTAL TRAVEL ST OT DT TRAY <br /> �w <br /> INTT7ALS AF=ACCURACY OF TIME AND NO UNREPORTED INJURIES OR INCIDENTS <br /> EQUIPMENT QTY HRS OFFICE USE ONLY EQUIPMENT QTY HRS OFFICE USE ONLY <br /> CODE QTY <br /> K @_H/B PUMP# 2 WAY RADIOS 3041 <br /> _K®_H/B PUMP# LEVEL ENSEMBLE R/D <br /> B8L_VAC.TRIC.# SAFETY HARNESS 3134 <br /> BBL.VAC.TRK.# GAS METER <br /> TURBO-VAC.# BLOWER <br /> GUZZLER# HIGH PRESS.HOSE 3083 <br /> _;.,C'AMFT•# "AIR/HRE HOSE <br /> ='= <br /> -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 MIN AIR PACK-SCBA 3029 12V TRANSFORMER 3112 <br /> RESPIRATOR TYPE G.F.C.L 3113 <br /> CARTRIDGES TYPE 12V LIGH'T'S 3114 <br /> DUCT TAPE 3166 M- DLAPH.PUMP <br /> VTSQUEEN <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: <br /> `;Payment berme:net 30 days. <br /> :t WMIS REPRESENTATIVE <br /> ll$In the event that collection and/'or suit shag 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 /> an collections fees CUSTOMER F"MENTATTVL <br /> (3)15%interest per month will be charged an accounts over 30 days.Annual percentage rate 18%. <br /> INVOICE <br />