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Chlorpyrifos Return Product Sheet
1.
Customer Name
2.
Pickup Location information
Location Name
Address
City/Town
State/Province
ZIP/Postal Code
Contact Name
Contact Email Address
Contact Phone Number
3.
Indicate quantity to return (including partials):
Chlorpyrifos 4E AG (2.5 GAL)
Chlorpyrifos 4E AG (260 GAL)
Vulcan (2.5 Gal)
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