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[1:n]geniurn� bra: <br /> MA$MON Phase: <br /> ingenium Driver Sheet <br /> Ganarat:ar 3rW AddLM:, C09tomet Blllllno Irifoona�lort:_ <br /> Kelly Moore Paint CarnNny(1016250) Kelly Maare(Sac)(IDDD43) (23 46) <br /> 210 South Main St 500 E John CarpeMar Fwy <br /> Manteca, CA 95336-5722 Suite 25D <br /> Irving,TX 76 2 <br /> Order Corltom= JanetBalfey PurchsacOWer#: W#307 <br /> rder Contact%lo: &W-610-4151 Job Date: ApH1 B.2024 <br /> Bouts of Gperattori: <br /> Aumunt loch lnMcr ; Susan Meaanl Ma ri1W!BOL,# <br /> giver Inatrtactlala: <br /> Geiremtor Auftnzetbn Form oompletEd. Ingenium staff authDrrted to sign all shipping dacurnants on bahalf of the <br /> yeneiatar through IMV202411P LEAVE OMSITE. any Mlrsplex,any appliances,anything I 19beled for Mean Hariwrs 1111 <br /> Gonimied SeMce Summary <br /> piclrup: 1x55, 2x5 <br /> Purge&PRM vuill ship ss Oil Based Paint LoosMack <br /> "pfease bring additional supplies(1Dx.5HZ. fix 15H2, WCA2,5x55A2,5xCYB.2WERM)and Call Susan(206)445-2506 or <br /> Wrk N (408)470-0093 if there is addi anal waste or� <br /> Imtruciforra: <br /> Prnilie Skean llfortdfl".t: <br /> E ul nt Re uirownt: <br /> Rom entity Q TypefSixe Approvai Dssorlptian Disposal FaciNty <br /> 1 �T 0W55(G) 1009136808 LATEX PAINT LOOSE PACK COV-PORr <br /> 2 .1 t 55(0) 560511a0 �T PAINT SPILL CLEAN Ct�V-PORT <br /> �`�� '1FYlr -Ili <br />