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��1-Opllpl625 Sunbeam Avenue 2965 Cherryland Avenue, Suite ht I Uhll IY_ithUnAN1110C WMIVI <br /> S Sacramento, CA 95814-0495 Stockton, CA 95215 r <br /> (916 443-9018 Sacramento (209) 941-9001 Stockton N 0' <br /> f (916)443-4572 FAX <br /> 3• r RETURNED-BY <br /> �._ DATE ,' <br /> l <br /> NAM E - !' '' <br /> ADDRESS :,. L. .... TRANSACTION NUMBER <br /> " THIS SECTION . BE COMPLETED <br /> ATVTI FY,x ,�K a rias a]E$G�#RPEOM1 S � Kf _ 1P- „� d4{NS s' K�(�Eh1 ajjaS 1a 1 ;a <br /> R 5 0 Ii�t rNG?l'E?"TI1Rt� Y TEST PTI€}I1'RE3C1GT9g «CrO G` u�.C3Q <br /> .,I RET6RN AD.] 'OGRE ~F.9l9`- ASE:'-."' -s,e„x „nNaA's; <br /> j' aaii,�rF,''. <br /> 625 Sunbearn Avenue ! > z <br /> - <br /> Sacramento, CA 95814 , <br /> E <br /> OLD <br /> BATTERIES PICKED <br /> EJP STORED AT <br /> ABOVE ADDRESS FOR I <br /> DISPOSAL AT <br /> RSRINC. <br /> 720 7TH STREET CITY OF INDUSTRY, CA � <br /> EPA APPROVED RECYClER EPA#CAD066233966 <br /> k I Y <br /> I I '� <br /> CUSTOMER'S SIGNATURE <br /> 1 DRIVER'S SIGNATURE <br />