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(800OIC <br />1 �P,0238 <br />FRSFIL TER RE 0 VER Y S YS TEMS <br />U- CHP #106493 <br />U. 000153060 <br />_ ni <br />ADDRESS <br />CITY <br />STATE ZIP <br />P.O.Filter Recovery Systems <br />Box 208 <br />Lodi, California 95241 <br />BARREL DISPOSAL <br />TERMS:OTHER <br />Ro. # <br />PHONE # <br />Processing Facility <br />4 Toyon Circle <br />95252 <br />PLEASE PAY FROM THIS INVOICE NET 7 DAYS• <br />We would appreciate prompt payment on this bill of Ladinonvoice as DATE <br />noAMW documents will follow. THANK YOU <br />DRIVER SIGNATURE GENERAT'OR'S SIGNATURE <br />All filters in 55 gallon drums are properly drained, labeled and are free of water trash and other contaminants. Also the containers are in acceptable condition for transportation as <br />per title 13 California Regulations. All records of filter collection and recycle will be held by Filter Recovery Systems for a period of three years from collection date on this bill of <br />lading. A certificate of recycle will be sent to you upon request. Gasket/o-rings must be removed prior to placing filter in drum to avoid additional charge. <br />THIS DOCUMENT MUST BE KEPT FOR AT LEAST 3 YEARS <br />Remember that cost is not an issue when protecting something as priceless as our environment. <br />