Laserfiche WebLink
® OIL EOUIPMENT SERVICE// STATE LICENSE No. 923417 <br />Divisiott of Keith A. Ttllut, hic. CLASSIFICATION: A. C61. D40 <br />F a x (209)754-5726 Telephone: (209) 754-1808 <br />Post Office Box 950 <br />750 Industrial Way <br />SAN AND AS, LIFORNIA 95249 <br />Date: <br />Triangle Inc. of Sacramento <br />PO Box 9795 <br />3525 - 52nd Ave. <br />Sacramento, CA 95823 <br />916-421-1990 <br />Attention: Nick Chronis <br />Please accept the following used <br />disposal by your firm <br />OHANTITY SIZE <br />underground storage tanks for <br />PRODUCT STORED <br />These tanks were removed from: Waterloo Food & Fuel <br />3032 E. Waterloo Rd. <br />Stockton, CA 95205 <br />OUR ID NO. <br />These tanks were triple rinsed prior to removal ®Yes [:]No <br />Dry Ice (CO2) was inserted in these tanks at the rate of 15 lbs. <br />per 1000 gallon tank capacity. Please send the certificate of <br />disposal to us. <br />Our Job No. is: 97-1 Our Purchase Order No. is: 8816 <br />Cnmments: <br />OIL EQUIPMENT SERVICE EMPLOYE-- <br />Print Name Signature Date <br />TRANSPORTER: <br />Company Driver Signature <br />RECEIVED BY TRIANGLE: <br />Print Name Signature Date <br />