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C <br /> C rysta <br /> Clean• <br /> MANUAL <br /> WORK ORDER <br /> XERRAGECRYSTAL CIFAN.LLC CCMS WDM: <br /> (Bn(P9PTBE, )OLIDGE.AL 85128 <br /> '.723-4167 AZDG8170&). <br /> CUSTOMERISHIPPER: DESTINATION: <br /> 4370 Absolut Avenue <br /> Contact Name: Phone Number: Fresno. CA. 93725 <br /> CARRIER: HERITAGE-CRYSTAL CLEAN, LLC EPA ID u: ILR 000 130 062 Phone Number: 877) 938-7948 <br /> BILLOFLADING <br /> 16GAL 30GAL, 55GAL. PROPER SHIPPING NAME TOTAL UNITS <br /> DRUMS DRUMS DRUMS <br /> Ikelaro enM lne�tlwaWeremeD nalenalsa•epmPe�q rY55kcA.tleamlrex.perM�],mWMPo LIIWWAld WE <br /> h pRpr ooMulm for IrensMvl wcorpTB to Pa app�iw Cle IeRI�IxbnR d IM OepMmenl d TrS,PE W n,CA ep A. <br /> IMADDER,NnreNnrlvuiWYrreue,mPCes—T Mm HAES.Mn TH LAW. v pMM WERWASAW,llagY✓J-Ygl <br /> Per Per <br /> Cu.bM5M EVER, xCGCanler DR. <br /> SUMMARY OF CHARGES <br /> TODAY'S SERVICE <br /> PROD. RTD. NEAT LOCATION UNIT TOTAL <br /> WS# CODE DESCRIPTION GALS UNIT SI SVC. COMMENTS PRICE Ory' CHARGE <br /> 3 <br /> TAX <br /> MANIFEST # SERVICE SUBTOTAL <br /> PRIX,$: <br /> PRODUCT DESCRIPTION: PRIICE DTV. CHARGE <br /> PRODUCTSALESTAX <br /> SUBTOTAL PRODUCT&TAX <br /> MACHINE INSPECTION SERVICEIPRODUCTS CHARGE SUMMARY <br /> crteRlMw 6 P CL TOMMA HEREBY VERIFIES THARTHE ABOVE SERVICES WERE PERFORMS TODAY'S SERVICE <br /> P T. BEFORE ARE HEREBY o.CUSTOMER ALSO HEREBY REAFFIRMS THE ACCURACY AND COMPLATERE.,.1 ALI L <br /> o xm CmiaeonW c P PRODUCT 8 TAX <br /> FEES Lis Ilu6M] G PPAHrORHEEExaICEHREREFIEEMUBEttIEENxEx.MI RlT4LOCLEY i EC RnMA oxs COIAII DMEREW <br /> 0e umeRVDMea GPCONCERNINGTOTAL AMOUNT DUE <br /> AMWW,&ATAD G P DDiEAART HPUBLE AND SAIDC¢RIIFICATpxs ARE DEEMEE ADE EDRTHE SERVICES cw RED mTHSSORK aFIRED E TOTAL REMITTANCE <br /> wmPnw'e'me' GP <br /> pewpmnaw G P PER DATE CHECK NUMBER <br /> ®2003 Rev.01108 PMIGC in USA FORM 20311 CI ICT(1MFR THIS IS NOT AN INVOICE <br />