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■ �1��Waste Management <br /> Industrial Services, Inc. D ,y " <br /> 4501 Califomia Court Phone(707)745-0501 TODAY'S DATE - <br /> Benicia,CA 94510 Fax(707)74"510 o <br /> CUSTOMER <br /> CONTACT ► "R'�' � '' fF' <br /> NTT P.O.# PROJECT COMPLETED YES OR NO <br /> OB DESC: T&M BID 20K UNIT RATE CERT P/RCIRCLE ONE <br /> .'. <br /> EMPLOYEE LUNCH T%M B NB OFFICE USE ONLY <br /> INTI'. CLASS EMPL.# -LAST/FIRST NAME' START' -OUT STOP TOTAL TRAVEL Q OT DT TRAY <br /> INITIALS AFFIRM ACCURACY OF TIME AND NO UNREPORTED INJURIES OR INCIDENTS <br /> EQUIPMENT Ty HRS OFFICE USE ONLY E �,ME� TY FIRS OFFICE USE ONLY <br /> Q Q CODES Q Q CODES Orry <br /> K @ H/B PUMP# 2 WAY RADIOS 3041 <br /> K@H/BPUMP# LEVEL ENSEMBLER/D <br /> s4- OBBL-VAC.TRK.#, j- ' —) SAFETY HARNESS 3134 <br /> BBL.VAC.TRK.# GAS METER <br /> TURBO-VAC.#. BLOWER <br /> GUZZLER# HIGH PRESS.HOSE 3083 <br /> CANNEL# "AIR/FIRE HOSE i <br /> = GEAR-TRUCK.# °AIR/1'7RE 1; <br /> GEAR TRUCK# 1"LOW PRESS.DOSE 3086 <br /> C.F.M.COMP# "VAC HOST; <br /> "FLE(LANCE "VAC HOSE: <br /> "FLEX LANCE 12V LIGHT BULBS 3111 ! <br /> 30 MN AIR PACK SCBA 3029- 12V TRANSFORMER 3112 i <br /> RESPIRATOR TYPE G.F.CI: 3113 <br /> CARTRIDGES TYPE 12V LIGHTS 3114 <br /> DUCT TAPE 3166 M- DIAPH.PUMP <br /> MIS UEEN <br /> i <br /> j <br /> NOTES <br /> By authorization of the time ticket the purchaser and his agent or representative agrees for the l r' <br /> purchaser,to the following terms and conditions • <br /> I fl)Payment terms net;30 days. ,r <br /> }✓WMIS ATIVE <br /> In the event that collection and I or aWt shall become necessary to enforce the provisions of the <br /> contract,or the payment due hereunder,the contractor shall be entitled to add to the amount due for <br /> all collections few . CUSTOMER REPMENTATM <br /> (3)1S%interest per month will be charged on accounts over 30 days.Annual percentage rate 18%. - <br /> - INVOICE <br />