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Waste Notes

    HAZARDOUS WASTE CONSIGNMENT NUMBER

    DATE

    TIME

    BUYER COMPANY, ADDRESS, PHONE

    SIC

    QTY & HAZARDOUS MATERIAL

    160121* – Catalytic Converters
    QTY –

    160100* – Lead Acid Batteries
    QTY –

    BUYER SIGNATURE
    [signature BuyerSignature]

    [signature signature-402 cols:400 color:#fff background:#000 border-width:2px border-color:#6d3679]

    Company, Address, Tel, Email