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Dec 27 2816 17:81:31 CST FROM: PM/58846389811 MSG# 1736935481-985-1 PAGE 828 OF 862 <br /> or <br /> 1 0 1l <br /> Pickup Receipt Pickup bate: 11/16/2015 <br /> =T Ma i.fast: 1101505717 <br /> RDT T=LV 7:.oq: 542115 <br /> Store No: 01554 <br /> a2U2xfik= Sattler and BnI2 UIg EaclI tv <br /> WA.L MART STOCK ON Lakin Tinct 'Wont; <br /> 3223 ,L LAMMER !ME 15305 Spring Ave <br /> 31'oc2c ow , CA 9s212 Santa F0 :pr1n9e, CA 90670 <br /> 204/473-3436 TPIDZ 1000659-01 <br /> TOM 1331982-01 <br /> Tziaakt 42340 <br /> Trailozr 4188 <br /> Licensa Number: 9[134824 <br /> Regintratioa: 1.5"06936 <br /> stere: CA <br /> T t� Oty <br /> 11ros VLCK04 <br /> Rion ''�ffi� o�_� � 4xraca�^1'n <br /> RX <br /> "'At <br /> g <br /> 8�h&r:"�.;.�<f�'S�T.i:lF 4bY{r,t�✓.F.S=y Fn��4:A.�,i2,,.�x� n„; <br /> Comf3den-ti&1i,ty Claim: The infarnat;,en provid-ed on Chia form should be <br /> tor,aidexed oonfldantial TiQ'¢ <br /> pzapxidtatry, and/oz' tra4a learnt. In gceordance with <br /> Tltle 14, CCA, Section. 17041 tt.saq, should any member of the public requnat � <br /> dizaloourc of thin iniar=tion, X Vaquont than CalReoycle contact hie at the <br /> address and tolophone numbtr a,bcwo:. !� <br /> Uoctxoaia FAwortt.ug to CdlliecymLe_ LaRin Tiro seat nal boon authorized by i <br /> CalRecyclo to partinipAta in the waste and Used "fire Manifest EBT electronic ? <br /> ruportinv urooram, on behalS of the customer listed Cxn thio toren, Lakin fire d <br /> bleat will electronically t:ranamit to Ca1ROCycle all required infornatlon From <br /> this manifest. COIRocyclo has approved tho Lakin Tixa Wast PDT ,Cozy for uaa <br /> wXthin the W&5 to Tire Manitcat Syotem EDT program. () <br /> QUnota.ana' Please contucst your CuA':Mez Service Representative at 000-489-2752 of email 8 <br /> cul'tamaraorvicoAlaki.nt:.i.xo.cam. <br />