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ED "Mali! l � � f11 i <br />p Tank Cleaning p Industrial and Hazardous Waste Services <br />406 E. A(andra Blvd. • Gardena, CA 90248-2902 • Tel.: (310) 523-4430 • Fax (310) 523-1518 <br />SITE NAME <br />GENERATOR NAME <br />SITE ADDRESSXy�SS+ <br />I C�L1l l <br />GENERATOR ADDRESS <br />�✓9--+ <br />I d <br />Pte" <br />CUSTOMER NAME: <br />GENERATOR PHONE: <br />CONTACT: <br />PHONE: <br />EPA # <br />P.O. # <br />MANIFEST # <br />SERVICES PERFORMED <br />' 12as tAv^e <br />i Ai1 Q. �c�u� <br />�o Ao>n<. <br />t�44 K / <br />14U <br />EQUIPMENT NEEDED <br />`� <br />CLEANING CREW: <br />CRANE: <br />VACUUM TRUCK: <br />t <br />FLATBEDIS): <br />DEGASSER: <br />CHEMIST: <br />OTHER: <br />DRY ICE: <br />JOB NOTES <br />HOURS <br />SCHEDULED START: <br />LEAVE SITE: <br />_ <br />STANDBY: <br />DRIVER II� CUSTOMER SIGNATURE 4�%�'✓� �-7✓��� ' <br />