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V14 <br /> RK ORDER# 12$9 <br /> }s, ._ . <br /> • Page: of <br /> P.O. Box 80;6, Colton, CA 92324 - Date: <br /> 1 It <br /> infot7p environmentallogistics.org = Sales Rep: CW <br /> 88$) 641-3940 <br /> Prepared.By: <br /> Generator: STOCKTON SVUN13 c B M : Bill To: COUNTY OF <br /> Job Address: 4980 Bi1GECtE1`COVE WAY Address: 44 fit SAN JOAQUIN ST,SUITE 54Q <br /> City/St/Zip: STOGlfTC31°l,CA 95219 JCity/St/Zip: STOCf4TON,CA 955 <br /> Site Contact: SU21 Contact: 209-468-32557 <br /> ( ) <br /> Phone: 209-951-5600 Email <br /> P.O.#: <br /> Manifest/BOL Quantity Rate Total <br /> PA) 1 X 55-ASS BENT CONT VWX TOO FRS --01038?1 -U <br /> Material Description Quantity Rate Total <br /> DAD i X 55111M OT DAA W EC - - — - <br /> Equipment/Outside Services Quantity Rate` Total <br /> Position Personnel Start Arrive Depart End Straight Overtime Total <br /> Description of Work: <br /> Company Name: <br /> It is the generator's responsibility to correctly identify chemical composition. <br /> f <br /> If the material is rejected by the disposal site,the generator agrees to pay all <br /> testing,disposal, and transportation charges. In the event of any litigation <br /> arising from this agreement,the prevailing party is entitled to reasonable Client Signature: - <br /> attorney's fees expenses, and costs. Invoice subject to a 1-5%monthly i I : <br /> i <br /> interest rate on past due amount. Your signature acknowledges that youhave read the state required notifications on the back of this document and Printed Name and Title: ' <br /> that you are duly authorized to bind your company for the above services / <br /> and aiSsociated cost. ✓. ''`k� <br /> f . <br />