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Waste management 'I IN1-E TICrKE I NO 1 �> <br /> Industrial Services, Inc. DAY s`-• `-- ---1,-' <br /> 4501 Cahforma Court Phone(707)745-0501 TODAY'S DATE - <br /> 8en=a,CA 94510 Fax(707)745-0510 <br /> *-1-TOmE;--G0LC._t.::'' !°l i �. CONTACT,'= <br /> UNIT P O # PROJECT COMPLETED YES OR NO <br /> OB DESC- T&M BID 20K UNIT RATE CERT PIR CIRCLE ONE <br /> .T CLASS Eh4PI. # E,VTPLOYEE LuNa T&ffi B NB OFFICE USE ONLY <br /> LAST/FIRST NAME START OUT STOP TOTAL TRAVEL, ST OT DT TRAY <br /> 4 <br /> e ; <br /> .r'a ' i• 7 <br /> I <br /> CNITIALS AFFIRM ACCURACY OF TIME AND NO UNREPORTED INJURIES OR INCIDENTS <br /> EQUIPMENT QT1 FIRS OFFICE USE ONLYOFFICE USE ONLY <br /> CODES TY EQUIPMENT QTY HRS CODE <br /> OTY <br /> -K @ H/B PUMP# 2 WAX RADIOS - 3(}4I ! <br /> 4vii PUMP# ' LEVEL ENSEMBLE R/D <br /> SBL.VAC TRK # SAFETY HARNESS 3134 <br /> 1381, VAC TRK.# GAS METER <br /> TURBO-VAC # BLOWER <br /> HIGH PRESS HOSE 3083 <br /> # "AIR/FIRE HOSE <br /> GEAR-TRUCK# AIR/FIRE HOSE <br /> GEAR TRUCK# 1"LOW PRESS HOSE 3086 <br /> C3:M.COMP# "VAC HOSE <br /> -FLEX LANCE 'VAC HOSE <br /> TLEX LANA 12V LIGHT BULBS 3121 <br /> 30 MIN AIR PACK-SOBA 3029 12V TRANSFORMER 3112 <br /> RESPIRATOR"TYPE G F C I 3113 <br /> CARTRIDGES TYPE 12V LIGHTS 3114 <br /> DUCT TAPE 3166 M- DIAPH PUMP <br /> VISQUEEN <br /> NarEsr--- <br /> By authorisation of the time bdmet the purchaser and his agent or representative agrees for the .t <br /> -dresser,to the fog terms and condanons / y <br /> a tern <br /> ym� net W days. <br /> In the eva,t that WMIS REPRESENTATIVE <br /> (2)'n and I or smt shall become necessary to enforce the provisions of the <br /> C'n" or the Pesyment due hem-Linder,the contractor shall be entitled to add to the amount due for <br /> au Collections fees <br /> (3}1-5%ut CUSTOMER REPRESENTATIVE <br /> P-moeeh-W be diarged on acoounts over 30 days Annual percentage rate 18% <br />