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625 Sunbeam Avenue 2965 Cherryiand Avenue,Suite A RETURN MERCHLAE FORM - <br /> �� Sacramento, CA 95814-0495 Stockton, CA 95215 n'O <br /> . 22140 <br /> (916 443-9018 Sacramento (209) 941-9001 Stockton IV <br /> (916)443-4572 FAX <br /> RETURNED BY <br /> Lf-2 <br /> � � f DATE <br /> NAME '1 .,A. <br /> TRANSACTION NUMBER <br /> ADDRESS <br /> SECTIONTHIS • BE COMPLETED <br /> QUANTITY `a' " DESCRiPTlON • ^. ;' x SHIP` H [iEA$ON•FC7RR>;TUAN TE3T6-INSPECTfpNRESUiTS `' . - G`(3iVfItERIiB�' OATE6,1J[:;I <br /> RETURN Abd. CORE OPEN SAID CELL 'CASE A =' <br /> -y �. -c• <br /> � z •i:. � 'kms°"; r �- 3.,.r'` E4• �'.,�.v'�,+f''� <br /> rP � At, 55 5 s „ic s� v •a <br /> F �•�� S+ a a.� '�• �"4V r# a a '' r La '- ...�f}� ..- ',l: �•'`, •t-' ' <br /> rr <br /> U 4 <br /> 625 Sunbeam Avenue sir . . <br /> Sacramento, CA 95814 ..x. <br /> r�� orf �� • ce:'-,M_ Y. a^ <br /> OLD BATTERIES PICKED UP STORED At .. �, <br /> r ABOVE ADDRESS FOR DISPOSAL AT R }•;4:J? i,< <br /> R S R INC. '..`. , ., _ . <br /> t•. . .r}7 k 4- <br /> �. 1 720 7TH STREET CITY OF INDUSTRY, CA <br /> i EPA APPROVED RECYCLER EPA#CAD066233966 <br /> t <br /> 717 <br /> CUSTOMER'S SIGNATURE DRIVERS SIGNATURE <br />