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6 ,- �L�j r LYAa h�i;a,L) �G.1A., <br /> ChemStation of Northern California- 1448 North Shaw Road -Stockton, CA 95215 <br /> Phone: (209)943-7478- Fax: (209)943-7479-E-mail: www.chemstation.com <br /> 1155 <br /> SOLD TO: Fresh Innovations <br /> P.O. Box 30567 Delivery Ticket <br /> Stockton, CA 95215 Number: 22283 <br /> Date Printed: 04/17/2020 <br /> Terms: Net 30 <br /> SHIP TO: Fresh Innovations Route: LOCAL <br /> 7735 S. State Route 99 <br /> West Frontage Road <br /> Stockton, CA 95215 <br /> Purchase Order: REQUIRED Customer Signature: <br /> Print Name: <br /> Sales <br /> Person Tank No. Product Additives Gallons Unf Office Use <br /> 014 1 1155-1 3391 Chlorinated Cleaner 220824-14 <br /> Lot Number(s) <br /> 014 11155-3 I CHLOR12.5 Multi-Chlor 12.5% - Lot#: C0920 I 220302-4 <br /> Lot Number(s) <br /> Delivered By. Date. <br /> YOUR SERVICE REPRESENTATIVE ALSO CHECKED OR SERVICED THE FOLLOWING <br /> ❑Container ❑Stand ❑Label ❑Cap or Bung ❑Ball Valve ❑Tank Cleaned <br /> ❑Drum Pump ❑Foot Valve ❑Hose(s) ❑Proportioner ❑SDS <br /> Thank you for your business <br />