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JEMILL., <br />www.htitankwash.corn • <br />//wol o <br />P Num8ER <br />CUSTOMER NAME AND ADDRESS OR TERMINAL <br />MPLETE NAME (S): LAST <br />PRO Cr HAULED OR OTHER RESIDUE (S) <br />IN TANK <br />I•1 il TANK WASH <br />16814 Packers Elay Rd. PLANT LAKENEAD, CA 96051• 9957 MEDFORD AVE., BLD0.11 1-530-238-8845 • <br />FAX (530) 238-6843 (510) 588-2009 • FAX (510) 566-2044 TRUCK NUMBER <br />EPA SCAL000040818 OAKLAND, CA 04803 <br />TRAILER NUMBER DATE <br />138624 <br />— <br />NUMBER OF VALVES <br />NUMBER OF FITTINGS <br />HOSES <br />CLEANED BY: ALL WORK INDICATED ABOVE COMPLETED <br />READY FOR RELEASE <br />CHECKED Err <br />TIME <br />SEWER CHARGE <br />TOTAL COST <br />9. Hit Tank Wash makes no guarantee with rieltp•OI of tha Can't:affront/hi of the washing process or the complete 3 elimination of all residue and Moisture <br />I <br />NSPECTION OF THE EQUIPMENT IS AGREED TO REMAIN THE RESPONSIBILITY Of THE OWNER OR AGENT and they dO nereby reheye and discharge HT/ Tana Wash of anr <br />feSpOnslbility. clams And ( <br />Wham/sof any kind whateekaver by any Parson 'Or damage. as a result of alleged improper or imcomolgri• cloaning of equipment HAVE READ AND UNDERSTOOD THE <br />ABOVE CONDITIONS. <br />ADRF=c ,•••• • <br />WORK ORDERED <br />WHO <br /> CY <br />9 7 Naru <br />CAME AS IS