HomeMy WebLinkAboutDerrickpumpout2825COX PETROLEUM TRANSPORT DRIVER DELIVERY TICKET Bou
Tractor
Trailer #
24 Hour EmergencY
(8S8) 339-3236
ContactCox Ticket
3311293
Business
(661)366-32367641 Edison HighwaY
Bakersfield, CA 93307
Driver RUBIO,
lnventorY Review:jm BillTo SPBA2seqPlanned Sequence 3 ol4o2108125Load Date Trip Time:1 .5166660210812512:00Runout02108/25 06:00Retain Date/Time
Fourth ProductThird ProductSecond ProductLoad Rack'DERBAK First ProductLoad lnfo
GAS91GAS87Product Ordered
16863220QuantitY
DERRICK MINI MART -
3221Taft HighwaY
Bakersfield, CA 93313
DERBAK
BOL#
Deliver To - NILBAKO2 Loading#
35lffS|r+T$Jj:;";"";, and e1 tanks oNLy rrom Denick Mini Marr and deriver to Nires Market
NILES MARKET
3818 NILES ST
kersfield, CA 93301
Notes:
Stop ComPanY: fresno backu
T&T ONLY!!!
Order: pumPout Per Sullivan
p number for gas only 518-4000607-1411
request (spencer) ?#tJ
**DB fresno back up number for diesel only 485-485-2680
\-tol
D g
Directions:
LOAD PLAN AND SAFE DISCHARGE C TE. REQUIRED ON ALL LOADS AND DELIVERIES
Billi
Driver Signature:
3of 4
Front of
TruckRear of
Truck
Storage Tank Product TYPe t
1. Beginning Tank lnches
2. Beginning Safe Fill Gallons
3. Gallons to be delivered
4. Safe FillAfter Delivery (2 minus 3)
5..Ending Veeder Root Safe Fill Gals
6. Ending Veeder Root
7. Check Water Level?
nches
NO
8. Confirm Drained /NO
Received above comm
Consignee:
Unloading info; DateLoading info; Date
Arrive TimeArrive Time
Depart TimeDepart Time
Driving lnfo - ExPlain DelaYs:
PumP YorPump Y or N
T
2RequiredPumpI rucK
?nstalledChainsowSn
PumP Off Truck?
ml
gover 30 minutes?
sld,/ YqrnQ ourP
whv
Product TYPe
Gross Gallons
g
O
q'
do
-da
2/8/20252t0029 AM
and service in good order: