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TE 1 <br /> LOCATION it'll) 1003974 PLEASE REMIT TO: <br /> 372 Florin Road,1'MR 276 =n_:Una :ase:. tealit!l ! P.O Box 83328 <br /> Sac}amcnto,CA 95831-1407 "' 'sww 1'ot(lanal,OR 97203 <br /> Fax (916) 395-SS72 ASTE RECOVERY WEST.INC. 1-877 OLD-"1']'RE <br /> (916) 39S 5541 Ha -_ <br /> uler ❑Gcn atnr { End Use Facility <br /> yrs 9 n'kep <br /> Invoice nate- � -_ L ad Dale.__ L ` _-45— Phone A ._ _ I)elivery <br /> Customer Name_ _ C_.f� �� '� cCt q <br /> Site Street Address z& City-kt _--State-C--.07 -Z _ <br /> DRIVER - -- 1«ro$,Jur un.l r P<ndtY+,i pr��ry wnkr rhe t,+..d J,.`•rar< A r J'F ,hat nc, w.o,J,J <br /> nlnmat ra ,rnr a d carrra.In a.}t,t«,,tam <br /> .arc that fal.ifir.'i—of'b",nf.,n„atuen may rc,uh ins,I,I ....tnn,..... nr drnnl of.......I"(dee\Vaaec I ire Hauer Reguaa—'pun,um,o <br /> Y ' ublx Rc ur I:Wl —1 42960 and,nay rc•utl 1n+•J!xn-dn<.up In S2$,000}xt day,rc,.iulruu, +r admuusvau.c Ncnatucs up to SS O00 Pct <br /> �1 ay a AcscnbcJ in 1'„hGr k<wuurs(ta1r u,uon 4:'an'. - -t h>rcntrncm LEA <br /> X �}}aul<r lixmpl,nn I� 1 1 + <br /> R HL TRL D 'S !H l R M0.NiFbST N C H;CI ARGE <br /> l E 1 DECAL/ LIC STATE IMPORT [� LCCAKION UST 5F T/���.� TRIP 1.OG 1 <br /> EXPORT 1 1 I O W �-� <br /> LOAD AMOUNT Description l0 TYPE Rate Amount <br /> QUANTITY p <br /> '!'C `J�uJ 1 f � O , f'+is '• .T r I^4 <br /> [Cussslomer Signature �D Tolal Amount S <br /> �t�, [tuui.tl+ar crd.r r+emb,v1,+cqur�under nc�la•x,of�hc Scan.of Ca'--darn-.11—the I'll-1-1 pr aln <br /> ar r,r + mJ 3690 <br /> c/ill- n r<a.to addiuun,1 am n•ire rh.a lalsihou�n of this <br /> ninl�.nnanon may result us ci.il IarnaL.n up nSl10(1 tar J.n,fee.n.faoun INVOICE C <br /> ad-inamt—T—Aurs p dl <br /> w SS (k Pct—,4uon pct )xt 6--bcd in Pubhc Kc--ll I..J,x'u'n 4'-16. <br /> C . ( 1_ <br /> i <br /> £O' d d£5 ' Z i 90 £O u>eC <br />