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SERVICE, ORDER # 12=6'2 <br /> DATE <br /> ► Tank Cleaning ► Industrial and Hazardous Waste Services <br /> 406 E.Alondra Blvd. • Gardena, CA 90248-2902 •Tel.: (310) 523-4430 •Fax: (310) 523-1518 <br /> r i , <br /> SITE NAME F `f .t '' �, �, .� .- Yi i - /'r.. GENERATORNAMEC.i/��f . <br /> lr <br /> SITE ADDRESS \��'�' % r t 1 . �`1 +? tj.A , '` 'Z- '•j-J GENERATOR ADDRESS <'�;o U. 00) <br /> CUSTOMER NAME: �•.� '+ + ! GENERATOR PHONE:'t.`... t \ L! % f C <br /> CONTACT: i l,.-S PHONE:,1.Q`J'• `� j .`'_ I°! EPA# i f (. C�'.1 U + '7 ' ;i o') 'j <br /> P.O.#t�"i ' .t1i �}"� J'"1i.if. ?% .J <il -'..J MANIFEST# �)ji% /(/ t`.e'•'" ,-1.�/ <br /> SERVICES PERFORMED <br /> I <br /> EQUIPMENT NEEDED <br /> CLEANING CREW: T� rY• i "_ 1 CRANE: <br /> VACUUM TRUCK: ��{ FLATBED(S): <br /> DEGASSER: <br /> CHEMIST: OTHER: `�..: :ti ,_J._:• �.rt ,! ,, v 9j ,=..., i <br /> DRY ICE: <br /> JOB NOTES ) HOURS <br /> Cr s�,�s� �'� i- �'.Ar. v `� `�!a ":li•J�ie� k'r .:'th.y"� SCHEDULED START: <br /> t,-,. �,;" F'-ia'f1`:I•��,�'Y' ��,b'�,�:•!l.w^ �.,o ., r:. f�� ,, 3,r+ �.�`a�:=.�� t�l�w r <br /> LEAVE SITE: <br /> STANDBY: <br /> -mmmadarasservices.Com1 <br /> DRIVER J °w�;i �'"G CUSTOMER SIGNATURE t 7 r r <br />