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Waste Management 1 J1V11✓ !1L x1;1 fV U. a: w <br /> Industrial Services, Inc. DAY <br /> 4501 California Court, Phone(707) 3 <br /> � )745-0501 TODAY'S DATE <br /> Benicia,CA 94510 Fax(707)745-0510. w/-O# <br /> ^=° <br /> s <br /> CUSTOMER . 1 ;-:;r %�`;���'�rra� ,';;,moi ��+r-'G <br /> CONTACT -' 'j <br /> TT P.O.#_ _. PROJECT COMPLETED YES OR NO <br /> OB DESC: T&M BID 20K UNIT RATE CERT P/R CIRCLE ONE <br /> 1A.?CF <br /> EMPLOYEE LUNCH11ME 8 NB OFFICE USE ONLY <br /> 171417_ CLASS EMPL.# LAST/FIRST NAME START OUT' STOP TOTAL . TRAVEL ST OT DT 'T'RAV <br /> —01 <br /> INITIALS AFFIRM ACCURACY OF TIME AND NO UNREPORTED INJURIES OR INCIDENTS <br /> E UIPMENT OFFICE USE ONLY OFFICE USE ONLY <br /> Q QTY HRS CODES EQUII'MENT QTY HRS CODES <br /> QTY <br /> K Q H/B PUMP# 2 WAY RADIOS 3041 <br /> K O_H/B PUMP# LEVEL ENSEMBLE R/D <br /> A BBI..VAC.TRK.#: '-• 1 r SAFETY HARNESS 3134 <br /> BBL.VAC.TRK.# GAS METER <br /> TURBO-VAC.# BLOWER <br /> GUZZLER# HIGH PRESS.HOSE 3083 <br /> CAMEL# "AIRI FM HOSE <br /> `- GEAR-TRUCK# "AIR/FIRE HOSE <br /> GEAR TRUCK# 1"LOW PRESS.HOSE 3086 <br /> C.F.M.COMP# "VAC HOSE <br /> "FLEX LANCE "VAC HOSE <br /> 'ILEX LANCE 12V LIGHT BULBS 3111 <br /> 30 MIN AIR PACK-SOBA 3029 12V TRANSFORMER 3112 <br /> 'RESPIRATOR TYPE G.F.C.I. 3113 i <br /> CARTRIDGES TYPE 12V LIGHTS 3114 <br /> DUCT TAPE 3166 M- DIAPH.PUMP <br /> VISQUEEN <br /> f <br /> i <br /> NOTES <br /> By authorization of the time ticket the purchaser and his agent or representative agrees for the <br /> purchaser,to the Following terms and conditions: r,rF Z• <br /> !1)Payment terms:net 30 days. �'''��• ."J`:� ' - <br /> ENTATIVE <br /> .'A In the event that collection and/or suit shall become necessary to enforce the provisions of the ff <br /> Z <br /> r contract,or the payment due hereunder,the contractor shall be entitled to add to the amount due for - <br /> all collections fees CUSTOMER REPRESENTATIVE . <br /> (3)15%interestper month will be charged on accounts over 30 days.Annual percentage rate 18%. <br /> INVOICE <br />