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5460 Legacy Drive,Ctsier II,133 800.669-5740 :_` DUNS NO.05,W-%51 FED.m NO.39MDO is CUSTOMER <br /> Piano,Texas 75024 www.Wety4deen.com FOR SERVICE CALL BRANCH MANAGER DOC,E(p. Se�OUM SCHEDULED 3 <br /> vuE ORT <br /> cLTSTDMET+NO. Lp I I El209-545-1011 RALPH TORRES G7 r�oa461481% <br /> CREDIT <br /> UTER <br /> PREVIOUS BALANCE m <br /> U — U- 5 o <br /> T <br /> M i HAI!/ C--W�1Y CHAINEcoG tY SVC Pr <br /> PROD.P/C' <br /> E ,� ��,�I LOCATION TAX EXEMPTION NO <br /> R . <br /> 7�8 .(A <br /> SERVICE GATE / CUSTOMER P.O.NUMBER CUSTOMER PHONE# TAX CODE DATE EOPTIPAOD ORDERED SERVICE TAX C.O.MS.TAX PRODUC'i'TAX <br /> - t -e / S/ <br /> DwT SERVICE! z I,K=im' REMARKS/ QUAN. CHARGE SALES TOTAL WASTE SOLVENT/DRUMS CC SIMICS E aFH� PRDMo IASLw <br /> DCNT <br /> PROD= NUMBER UNIT PRICE TAX CHARGE MIN. � PERT •� SK DOT T!xM ����. �µyd GORE NO. sm <br /> x /c/ seg '77 yo 6 0 f, -la 3o 3 ❑ <br /> 3 WS r`• 2 a p <br /> 4o i etptie Cl <br /> B ❑ <br /> 7 ❑s, <br /> is <br /> ❑ � <br /> ❑ ; <br /> 11 El <br /> TOTAL-SERVICE�PRODUC7S -al <br /> s °°°° ' DEMMI'LACE c YES � LIAMPRMMY6=Mw '� No <br /> - SO� AAIAt�T�H ❑ ❑ AadLEGf$LE ❑ ❑ LOCALPMENDMIS ❑ © z <br /> RW�E I= ARM TOMACHM <br /> USEPA TRANSPORTER 1 ID NO_ USEPA TRANSPORTER 2I NO. GENERATOR USEPA ID NO. GENERATOR STATE ID NO. —i' "r 11 r 9MAILM <br /> El <br /> TXR000050930 ❑ ❑ m spsaYNbC aG D <br /> 11.US DOT DESCRIPTION (INCLUDING PROPER SNIPPING NAME,HAZARD CLASS,AND ID.) MOOT H 's TOTAL ',CUNR SKDGT MW-rNOLAIDER j 3 5 yyC,� sSTREAM Y ARE�,N <br /> t s'J�J7�iir F//a.s..gy9C = �16���d7 T A�QS 7aG ap.st� rrrA / t� OXE OF THE FOLLOWING <br /> LLI <br /> A ,4, % r� / '✓1113!"? 54' 33 GJ M 'Ail/U l 3 Dmzmies�asowrE+ a <br /> Z <br /> INT'NLS V --I <br /> B. M LBS O Les nAOHnN 0 <br /> C. — (AQ <br /> GFEATERTHA1112,B1BLOS�LlDr d jic <br /> �G00 <br /> D. iN MALS p G L4 <br /> DESIGNATED FACILITY NAME AND ADDRE8S-----S-AADDRESS-----S—AN SYSTEMS, INC. I CERTTFr THAT ND MATERIAL CHANGE[ DCQIRRE31 USA EPA ID NO Z m-N <br /> 'f 1 E1THEl EN THE CHARACTERISTICS OF Wt= a , <br /> .. 7 [..Z ��i0 P��[ +� (>; /C�li �I� MATMIALS OR IN WASTEVAYL14�3. THE PAGCE55 6II�[F3iATkN6 TriE STATE ID <br /> CASH TOTAL RECEMM APPLY fAYMEKF TO WIF I ACgEE 70 PAY 7HE ABOVE CHARGES AND TO 8E SOUND DY THE TEAMS AND TOTAL CHARGE V C <br /> CHECK NUMBER �y CONDITIONS SET FORTH AWK Ada!ON 71,M REVERSE SIDE OF T?DS OOCUmwT. � <br /> ❑TDDArs sEfmCE SALE FLEASE CKklt E Aar ACCOUNT�¢ T THIS MNIOW UNLESS <br /> s� E WASTE MIN. <br /> ISE [FROM ABOVE) <br /> ENDCATED IN THE ENT <br /> a <br /> ElPREYdAFS BALANCE AS Rril ffih5 LDR MESSAGE+, DOCUMENT IS DULY AUTHORIZED TO SIGN AND BM COSTOMal TO RS TERMS. FROM ABOVE N a <br /> INVOICE 0 AMOUNTS a INVOICE# mAMOUNT 5 -n*i many to ms mewromd mmam we amwo dk3 aw oeam a n n�&16 m in <br /> — -/%/ /r - 1►4>••v wcmmnmw�Lxna amn..wumw xndmearrmeem ,•= — <br /> F!R <br /> MAMPESTCODE Sm# ; P roTALDUE- ..,.J A 00 N DTYaR ITE iN TME AREA BELUOJ <br /> TE P,ml CustolHer Name M00461481,9 <br /> AME7C !F �' <br /> TnSA f � -1 <br /> mC By l` :1� y 015681 <br /> CUSTOMIMRfFEAENCE FT� EMERGENCY CALL Custmrte Rer d P <br /> a[ TUIQ eN10LL7ICAIT r'P11 mkis Ice r% rLic OLINCOQL Q[Ytt <br />