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I _ , <br /> C Q337zb 1209392 <br /> C rysta l <br /> Clean <br /> MANUAL LD00 �2'l `� 2 <br /> WORK ORDER US ECOLOGY <br /> HERRAGECRYSTAL CLEAN, LLC C MSWO#: <br /> 1am HWY 96 <br /> r'eS YJO II I IIIIIIIII I III IIIIII I III B NVT 30010000 3 <br /> 392 <br /> CUSTOMERISHIPPER; DESTINATION: <br /> 5694 E. Clinton Ave . <br /> Fresno, CA 93727 <br /> Contact Name: Phone y`�' ` Phone Number: <br /> CARRIER: HERITAGp-CRYSTAL CLEAN, LLC EPA to #: ILR 000130 062 Phone Number: 877 938-7948 <br /> 16 GAL 30 GAL 55 GAL I PROPER SHIPPING NAME TOTAL UNITS <br /> DRUMS DRUMS DRUMS <br /> . ,qurDsSBI•eert aft tLIN'3932, Emvimnmvl:ly Nantdws Subrt.Bce, Ugtjld 00sp <br /> I'.�'.'-;G:IL $Di"LT(5'3SI=, Ilil;26�, FAT6!',IV2 Llq:''4 BPSL, I"Gf$BOIC N.D.$. <br /> This lsmcenry ma lmeeeePOn gCD D .v a<enmoeMeacrec4 desOihDd. ax Kent ofmmlBdaM Mb meaaNdad. <br /> H pmpermUrwion lwhenapOM1ecruldrq me appfxaWa legWaTnn901 U: 0apamnanl olnarvcporlamn,es requiad. <br /> I aNOzv01y mM0¢MmlMradns Wmle. PCRa bcenmlxMximmeLsedW anableM1stlearumrai(a Wggrrnnal. ��� <br /> Pe �j " 2 0 ^ I l Per <br /> stD ttShl Dale HGCJCeG Date <br /> SUMMARY OF CHARGES <br /> TODAY'S SERVICE <br /> PROD, DESCRIPTION RTD. UNIT SI NEXT LOCATION UNIT . OT, TOTAL <br /> WSN <br /> CODE GALS, SVC, COMMENTS PRICE CHARGE <br /> 00617y 2 I 1 (;QF <br /> TAX <br /> SERVICE SUBTOTAL <br /> PRODUCTS <br /> UNIT QTY. CHARGE <br /> PRODUCT DESCRIPTION: I PRICE <br /> PRODUCT SALESTAX <br /> SUBTOTAL PRODUCT & TAX <br /> MACHINE INSPECTION SERVICEIPRODUCTS CHARGE SUMMARY <br /> CkdrfaBSs G P CUSTOMER HEREBY VERIFIES THAT THE ABOVE SERVICES WERE PERFORMED AND THAT SAID SERVICES AND THE CHARGES TODAY'S SERVICE <br /> Lamp AUN Sly G P THEREFORE ARE HEREBY ACCEPTED. CUSTOMER ALSO HEREBY REAFFIRMS THE ACCURACY AND COMPLETENESS OF ALL <br /> Mm Ca-d[aR G P INFORMATION CONTAINED INTHISWORIU ORDER AND ALL DOCUMENTATION PREVIOUSLY SUBMITTEDTO HCC. THIS WORK ORDER IS PRODUCT & TAX <br /> FBNLIe Link lnalAW G P DEEMED PART OFTHE SERNcE AGREEMENT BETWEEN HERHAGE6RVSTAL CLEAN,LLC ANOTHE CERnnCATIDNS CONTAINER THERE <br /> LIBUnobSwo G P CONCERNING THE MATERIALSTO BE HANDLED ANDTHE SEMICESTO BE PROVIDED ARE INCORPORATED HEREIN BY REFERENCE TOTAL AMOUNT DUE <br /> PmpgO 'Mad G P AN DaEEmen PART HEREOF AND SAID CERTIFICATIONS ARE DEEMED REMADE FORTNESERVICES COVERED SYTHISWOBKORDER. TOTAL REMITTANCE <br /> L=I Mu a aO.ed G P PER DATE CHECK NUMBER <br /> D alA NPkm G P <br /> 02003 Rev. 0100 Printed In USA FORM 20311 OFFICE THIS IS NOT AN. INVOICE <br />