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Safety-Kleen Systems, Inc. ��( / O e 9 4 5 612 <br /> A Clean Harbors Company <br /> 601 Riley Road,East Chicago,Indiana 46312-1638 <br /> n Igen® Telephone(219)397-11311 Fax(219)391-6185 DATE <br /> CUSTOMER'S NANIC ay, <br /> ADDRESS <br /> k <br /> coMMoom �2i212- <br /> CARRIER <br /> 32 <br /> CARRIER IREMARKS <br /> m m <br /> h c Q N LBS. GROSS <br /> Z% CO LBS. TARE—DRIVER QN OFF <br /> ONM QuSQ <br /> M NN K10 IN <br /> b' Q••Q N LBS. NET @ PER I.B.PRICE <br /> SHIPPER <br /> FAIRBANKS SCALE CAT.NO.083908 WEIGHER <br /> 02-10013(11113) <br />