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WORK ORDER <br /> `�����. INC. <br /> P.O. Box 51 29 ■ San Bernardino, CA 92412-■ (909) 889-5607 Fax: (909J 884-89GG <br /> - D.O.H..S.#01 15 • Industrial Waste Removal ■ EPA#CAT 080012800 <br />'. JOB INFORMATION BILLING INFORMATION <br />'C. 'COMPANY COMPANY <br /> ,ADDRESS ADDRESS_ !! 44 <br /> CITY r STATE ry ZIP - OITY STATE ZIP <br /> CONTACT PHONE CONTACT~ PHO <br /> -NE <br /> Vt <br /> i <br /> 12 �9s J?.t]:P1J5, i •� UNiT N0 6C.O.tY. CFtARGE = <br /> . ,�� ' �,� <br /> �7' • <br /> A <br /> Y•WOJ4K:E7ESCRIPTION <br /> -I 117 <br /> I . <br /> ":^%:?°., kms+;-:zi,�....;,. ;-�,.:.�.�as::E '4:�'.e`w•�:,:._.,�.,.:.-..:,, „. ..>.�."'..:a�.�,-'-:a ,......e-�-a :i���"e <br /> UNIIT.PRICE 5T?�J�T. ARRIVE DiP,ART°`STOP•� TOTA��"F�C�!!AS <br /> I r' <br /> I - <br /> 1 <br /> t31SPOSAL°FEE DESCRIPTIC1N.' _ e: QUANTJ Y_ I nP1�IGE'' ~ <br /> I <br /> i . <br /> TOTAL <br /> RECEIVED BY X <br />