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r; <br /> ' JIM MESERVY <br /> 4 <br /> Jim's On-Site Recycling <br /> 9145 W. Lorraine Rd. <br /> Trac CA <br /> Tracy, 953763540 <br /> 2 <br /> ( 09) 833-7870 - Per 51 _ <br /> Pager <br /> 0 <br /> g - <br /> 726 2502 <br /> & G Date - /`I• C G <br /> Address <br /> City l state <br /> Phone Contact <br /> RECYCLE SERVICE MW"NAN77FREEZE DOCTOR <br /> Filter,purity, blend,adjust freeze point and PH levels <br /> Add necessary antifreeze to make the blend a-342 50/50 mix <br /> Add necessary fortifier to adjust PH level between 9.8/10.5 G <br /> Add antifreeze corrosion protection chemicals <br /> Total Gallons in Drum After Service <br /> LTewfthSlpteclal <br /> Less Gallons in Drum Before ServiceEqual Total Gallons Serviced �7� $Gallons Customers Antifreeze <br /> Gallons Recyclers Anbfreeze x $ <br /> OZ.Formulated Antifreeze Fortifier <br /> PH Balancing Chemicals <br /> And co ion Protection Chemicals x $ <br /> SALES TAX <br /> 741 (J <br /> INVOICE TOTAL $ <br /> REANAWS/AFTER SERV <br /> PH =_ Freeze Point = ° <br /> Cost Per Gallon = $ Suggested List <br /> All product is solo on a C.0 D.basis unless pnor agreements have been mane and specdied.Marufacturers suggested retail <br /> prices,specdicait and availability,are subject io change without notice Our products areas specified by manufacturer.Any <br /> alteration or devi�ion from above"cificatioro involving entre costs will be executed only upon written orders and YAW become <br /> an extra charge er aro above the estimate.Alt agreements contingent upon strikes,accidsrxs or delays beyond our control <br /> Owner to carry firs,theh and other necessary insurance. <br /> TANCE. above prices,specifications and corxktions are satisfactory and aro hereby accepted.Y are authorized <br /> to lip as specified.Pa nt WIN be ade as outlined above. <br /> Signatum X - Date of Acceptance 'G U <br />