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Safety-Ween of California <br /> ?311F- E002842 <br /> A Clean Harbor CompanY <br /> 6880 Srnith Ave..Newark,CA 94560 DATE <br /> 5�{p( 1Be fl„Telephone(516}795 40C Fax(5S C)796-2559 <br /> CUSTOMER'S NAME � <br /> ADDRESS r <br /> COMMODITY RE ARK <br /> CARRIER <br /> J <br /> O <br /> L85. GROSS <br /> l21 <br /> �N � <br /> co CO-0 CO Ire LES. TARE—DRIVER DN OFF <br /> Q L—< r-I y-; <br /> LSS, NET @ PER L6.PRICE <br /> O� Oa <br /> SHIPPER <br /> WEIGHER <br /> FAIRBANKS SCALE CAT.NO.082906 a2aoi9aloe1i71 <br />