|
s t :'
<br /> r _ __ a
<br /> �' 625SurrbemAvenue k,2965CFIerr Iand.Avenue` SuiteA:,. . � _U�N"1i1�11`V� D.IVE` .011I•
<br /> �-- SacraM6ntn CA:95814-0495 SSackton;t:,CA 95215 " [��
<br /> -, Com: 5f- r :.x.:- q a,; a "I �-
<br /> 91 fi '43 9Q1,8 Sacramento..:, 2
<br /> �� F t ( Q9) 941 9001 Stockton
<br /> �� ..ti (918y 443 4572 SAX �x ,
<br /> .' � � r
<br /> ky -d - JF - 1 a" t j ` -_5
<br /> } r � X x 9 1 Y ld a. 13 x -3 t Y f- Y� 42 .F
<br /> _ -. txq t - s. _ 2„_ f f -r f
<br /> REtUFiNE BY ,. ` + ;
<br /> LLL
<br /> i. ]-3 # �•. ��' j DATE # �� :• .
<br /> �� .f:f•-. ,i ./fir =.v,r �. ,r,.� r'} -'�' r' -r ^E"`r- _ _ t - --
<br /> NAME i z. � C. a , �` � r .f,. :r � t r ' �:
<br /> ADDRESS r TRANSACTION Nl1M8EFi }
<br /> w ,
<br /> .}. ay.. - Y THIS SECTION �-
<br /> - i.. 4..
<br /> " LFANT[TY s,r e ys',:; � Yc
<br /> _ ..- �q
<br /> n l ..'�`, ��.tfeir.r ..' I- aid r .,'Fr - Sf _ F ,r,4 a . -�, . ?1
<br /> `,. r a - RE7llFlty.- ADJ COR v, 'rx tir -,ma 1'T 'v."�':"r�s*pn•.-�; -' -s X '-k,:< =L_ir.
<br /> 5-, .'d _i'.,. _:C i-v't-. 7- a4 .;i3 ,tib �x•s. i°:;•-�,
<br /> _., 1' c:... - .s- -' :"• _ xa +,.,x -:.?' '�., _i.., a ., .,r=
<br /> +r r q - v'...oF�" .�,� - S; ..:�...j's'�' rr_4:�a-,- a- `r:,-,a'L '+ :--'
<br /> -F "s r,d _ �' �e�a ;+ - -.,>£+.;.. .:Y.t:� '..a_- '-. ':,,.;4" i- n .et... -rr'�" ! -�` e' „t;
<br /> t-- t - ;,. a' 5iF`- '- .;t'` -r=.� �.., .;� .,a,y„'q; rx rw, _.':.t. ar ._� `s-=.?,,.
<br /> .£- _ _ , .t } .:_ xi :;.35, r ;_r'i3 Y �' .� Y+, AC T7 a.1�i�7.... .,,a r P''^�i_ ,.[d :.1+5�: ,:
<br /> 1.
<br /> -a': v�- _ -1. r �-, a x,a �•4 Sf*+1 �Ji^k .k f .y,.l_.., '.:
<br /> .i. ,.'`s, M- ,S -sa :�. !r -;rY 'rte
<br /> :1. :- .. _ ... _ „ �' ..:,'r. .✓.'.�3s„ �.ae`3'a:i -; � `.,5` 5: .`z'� '4i', �,r:`S�,;ev v '� 4• .m.t�t�:�.�
<br /> y -.a,.rs .''`'e r,"s 11.II �°3 ,"v'F" -�t g 3-r� '�'��'€ _,'H .rc 'C ;a. f`a� -
<br /> -- 'd, :x i.R,,•r,•'^ 3-'a-a ._t!,. ,F, :.'a-;..r; _,..s:21 s.L3. r ;�+s s
<br /> l Ttx ,,r .x . _ - r # su - :e} ja�f w r r t a aye q .
<br /> a 1 _ I-. y, . .I � i M "�Y � S. F''� °a r J r, .-rhe.+E•b'' qtr 3. .iP''' F{N aE et
<br /> A k ^5p --' ` i r n i+,c`� r - x�x ' , -- ,u r Ys _
<br /> i ra x x .11
<br /> .. 625 SUrlbeam AVer3uei r - 4 yv s v fi a 't-f r 3 - '-
<br /> ,, `' , IL 'w:rb f ay"Spw r4��r y ra7d ?4 ,<��, y r a �q x�: s z � Mkt * �sy z
<br /> Sacramento, GA 95814 �. , �`a g �. 4 F 7: .` _ ,.Y11
<br /> H
<br /> . s 5 H t "t^n-1�3 *+'��,"'i=f 4`-' a,h"�- f er- _- �,� `£- - ,-rf' r
<br /> c - {-- w - a 1 >s r a ) t
<br /> e - it - yy�� t r ��, ` _i'F,f�.. • '�;``*�- }aqq,'��"'t '''s'`r- : -r r T z,,.y,. �`i �q�.
<br /> F --"'r "T�^ `i C-ih S 2 ��r Y'`i�'yi ', R rrt A .F+
<br /> w s - } z,.,. .•,._ - tk ' u''C°� A-$ dsa JSP" s `` ',` 7 ,,, 'r '�
<br /> * r.6. F cn aVl � 'tx�F 5'`- ,�'`' - -et y'�^r F?+ 7u.. 1 1111'Vii.r'r -# t-k r;
<br /> -w n b' �5 rye:r't ` .0 - ?` _ �.,Y,y�.;r*-, ka' - ';,r8 c� :�.��'�.;'
<br /> +.. s - _ try v ',. `�k'y.r'r;x �S"� 4 3., f r i - ^s- ,r Y� _
<br /> .� h' 4 -r. - a SSE y ray '' •eks=,n?gy- ;X R'�'�i �3Y�z-z,d 4 '4;r'�n a � 3, x
<br /> y ..r te F it'�w� ,k?- "Y -.'.c,�' s,--r'"��;it:`rfF `C.a'- '��?s d+,_,�"eM.r; - .,:,�, a, �z" --,- Y'1`t
<br /> OLD BATTERIES PICKED UP STORED ATyssikjr Yt ° Y+•r. � h' a k .5. ; � .
<br /> ABOVE ADDRESS FOR DISPOSAL AT11 ..- „ � =; t = v I w z't ,
<br /> RSR .tNC. ¢x c Kn aT L4 y a k v i w d s C r a T y r .
<br /> R-"'� � P
<br /> s �++ t #'�`+'r t '`€s' 4`x i t - ': s 3i i r" ?2 i 5N F"•�4'-M';s Mw��y,
<br /> 720 7TF# STREET CITY OF If�DUSTRY, CA 2 n"w r,�;� �,, 4 ; s �� �5 -E" ,� F ,Nai
<br /> ERA APPROVED REGYGER EPA GADOb62339G6 a ti
<br /> } + ,vs r J;a ,N �y oa '1, 1 sr , e. (t 5 �,., "Qllcc -.,
<br /> 1.
<br /> '� 5 Y3 � 4 -sr 1 Y +yeyT '§ "x ' ?- `1 ti``ceE"Yr'Y`''� ' ( ; ,}7.}"r: `l4'• "
<br /> ��` 5 4£T' ,f :. yU ,r ��'� q '?ya: dT: `q'p1- rr-dL'-,fis',r�`T.i.• y I'll;ii'2,v•� i..E� �Y d ur
<br /> ', r skair:` y - p -}v s:"s" rYx.;;S,ztrak a dr a 4 4
<br /> _ �+' ¢ �•tfi:t• 3,'K4 Lt,c � z t1s' T's'Y ts'`i8 ;•,aAt�;+�,fi• .. y,'' kms.7 ti 5 •c?"'sr'` a
<br /> _ i ^' .:>'.eK $` a v 3_- 1' ^t 4 i„t 'i`-a R - 'S..�- s.+ -
<br /> _ { 2 ..g', ..2. L `. u'� a�+r ^'�,.�>�s:•y=X`F•:-7F w.`�.«3';,,'Y �,- jR-,S, N?,.ry '4h'-,� 0.,tii xa1:. .s sr �
<br /> - r �,- `, ='k's la.r..`yK � s.=,cox -�5. .s,a.4•m,'�.�...a:l. n d- -n� '+'H A r .r h
<br /> 4`. :.R. if++a ., .fi,., 's,. .e ;�� i r v,4,,.,..R•:s .r J''.,y;rzs. I ill r�, N3
<br /> r> Kae' r .r,.•a; >> .xn 's a ?.- III r 4n.
<br /> a-. 'I, i p,{ "A"aa 'i ''.,• ,:{y, .3;a :� ,�....'�.;'e^• 1,c•;+-4 t'-- •.a :".sd a 7... ..'ice
<br /> ''� rt' vv ,a4; Ex-a.': .:: tk y�s-x: j -,t r 7._, r s;-,
<br /> :h" _ ? ,gin, r ,-; aix:T! d . - __,te,:;.,.1;: ti: ti„ *�:,.1P�. - s i,a,- •, `
<br /> :Y .,F {::z..li' a%1.,1 '+ Y"Tl v-�- xa ,Ri:n-"s .4 -a.<•� v.-� •a
<br /> - ':�'_ O ..t r -s. Hh;}- ;r c h, °�4,. kc-] ,{.: ,,.,..,. ;F'�✓ ,ar r:...
<br /> Y :I'. .F, ,.i" 2 .. -iv^ g ➢`. Fs.`%-+. 'o-4. •rar..a.x, eta-,„ -. a ,. Ursa -3,7� �.a-"a"t�'
<br /> r" .;3 : r.9�d'3 ,,,;r'ra• .ry.��Cra Cdr ,�a,,+5 'S:, .,ss -ra' ;,(T••,:15:^e; - �.
<br /> 1' 'X�e+� iE ,3�,'M1n •.i.r•5�.- F,.�..N. NT r d.. , ;tz;y.:` .a) ;:"-
<br /> '�,i '5, :'^ . "'�.:' �ti''.,�:i,!1? ' `ew-e q'a:>r, �.}1-'.ux' ,St" f1ti..M+ F
<br /> u r 'i x'-2, ➢ : s>'hy;;r< `r d". 3,�,r' ?. - ;'.:.++�.4Y�E} ;` = �s. ;'r,�x<. -,}.�+�Ix'r, ,"M',`{'„�'• ,v�;' :' sla tr<.,.-<.11:,-•'',*li. ?,;;-'.."'
<br /> ..:� �.{: _ 4 ! ''N• krY.i�. -$�5,h, :f
<br /> l - 3 '3 $'. ,.Y S.Mr,;r }� 1:y- 4'`"£� x}' .,�, x:- ,i`y`ve9,
<br /> r' h 'i,+. .x' 'i,r %°, 5`: -".'s a- ..�rdr.r ;r+5,g4. .f.. e t..a. `f--- L,a$
<br /> .;a`, 3,s r, *d, 1;� :'�.r',Csrw -4, :W' frx'. _-S. 't��•'_ .,sre .:.' .
<br /> 'I ,r --d.a '{ .,h'• L. e,, ,u „}.,,.«S >3. '°s,t,. ';- ..,�-; .rte.
<br /> >' ;; r ,_ifs?! c' t'•...Ter.
<br /> Se J'" . ;, "`..5e �o ,.rz Q,s.. ..p.....ar.. •`'f+.3rd'�,. -s`:x,<^, Ctra:�': 11
<br /> `�� - L i, L ". -- „ z'[ 6 �.t1'�' �.,X]� }A%"t .3 FS Le;u, -,.fir
<br /> F�l� I
<br /> ?- {' ., .yt-;. x.y •:, -s,k3 ,y.,7c' �-i.?`P„� .�w.n�.'r'y&i»,: ': en `L- r., ..r-,�' r �' •.,,,.
<br /> .'`' .T '�. rl.. '4+- .4' .'i . 0.y r .;3•'._: r'�
<br /> W:F'w h� ..+.� 51"' ".vr!:at-•s. -Y.i 3f..- r,.X "'4.�` ,x,.
<br /> '{ ', y :''0!. .mss,. '� - - 'P"` c .i. ,. t."Y,,.;,.,<,.. S,
<br /> } -y. 1 S ,xi X45- '' i of 11.3 ..S-'S'.? l ,.F
<br /> t "SQA'. i.., r}', .. ,H. .-k.: S
<br /> l t
<br /> .G.4,; r.;„ 5 ..,d�
<br /> G a r <'-
<br /> ,-" - - -,,..-. ..7--,- -1... . 1 .45�.::�::�,,,�'�. -, -,:-:4. .�,. L 2-:-'.L�:1* -�'�.- ..,";" - '-I.�.-",'- - - -�.�',-'-' ;��""Z:"'r�"�'"-"�-y'4�7 _' '
<br /> . . � 2- -�:'M�'c,, , -,'�' "L��"��L '�."::'.:'I".._"�,',':_ �2�'�'-
<br /> > - y t ":� t '*0. -�S s r- F t y � ri .d "-Y r' 1,.,S S., .t. � :.' t, s'..�"-"".�'L%'-'"..'...",,.,r,.�L."11" ' w ,.
<br /> .' i - '2
<br /> CUSTOMER S.S[GNATURE r, .. r s [)RfVER S SIGNATURE
<br /> n
<br /> . -. .
<br /> Ll 11, w.- . ., ,,, .. v .-_. , _.
<br />
|