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ofPRVfCEVM # <br /> ` <br /> � a DATE ' = <br /> tet.,,, <br /> 10, Tank Cleaning 10-- Industrial and Hazardous Waste Services <br /> 406 E. Alondra Blvd. • Gardena, CA 90248-2902 • Tei.: (310) 523-4430 Fax (320) 523-1518 <br /> SITE NAME GENERATOR NAME <br /> SITE ADDRESS r GENERATOR ADDRESS <br /> CUSTOMER NAME: GENERATOR PHONE: <br /> CONTACT. PHONE: ' EPA# <br /> P.O.# _ r <br /> 1"� i � " MANIFEST# <br /> SERVICES PERFORMED <br /> EQUIPMENT NEEDED <br /> CLEANING CREW: CRANE: <br /> VACUUM TRUCK: `°x#s 1 FLATBED(S): <br /> DEGASSER: <br /> CHEMIST: OTHER: <br /> DRY ICE: <br /> JOB NOTES HOURS y <br /> CHEDUALED START" <br /> LEAVE SITE: <br /> STANDBY: <br /> v., <br /> DRIVER CUSTOMER SIGNATURE `:' ter. ` <br />