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/® RUDY BONZI, I' �yy f R'-)Y BONZI, INC. <br /> /� Q�\ <br /> INDUSTRIAL WASTE DISPOSAL \p� r�q/ INDUSTRIAL WASTE DISPOSAL <br /> ,� <br /> 2650 W. HATCH ROAD 2650 W. HATCH ROAD <br /> PHONE MODESTO, CALIF. 95358 PHONE MODESTO,CALIF. 95358 <br /> 538-1430 WET# <br /> 538-1430 W/T# <br /> DATE - -' � ��. '_7Ci15T# .�_�:.i,.;; cf - - <br /> DATE CUST# <br /> CUSTOMER . %i„ ...L, r CUSTOMER (r ' ;'%,.• j <br /> ADDRESS _ /�= / '-rT C, CALIF. ADDRESS <br /> DRIVER TRUCK NO.-.-' j, DRIVERTRUCK NO,BIN TO BE REPLACED YES Cd NO ElBIN TO BE REPIACED� YES Q NO❑ <br /> COMMODITY WEIGHT CU. YD5, <br /> COMMODITY WEIGHT YDS. <br /> META METAL <br /> PAPER PAPER <br /> CANS,USED CANS,USED <br /> CONCRETE OR DIRT j CONCRETE OR DIRT <br /> 1 <br /> CANNED GOODS CANNED GOODS- <br /> WASTE WET WASTE WET <br /> TRASH 1' TRASH <br /> COMPACTED TRASH COMPACTED TRASH <br /> COMPACTED PAPER COMPACTED PAPER <br /> WOOD WOOD <br /> a <br /> SPECIAL BURIAL SPECIAL BURIAL, f( ) <br /> CUSTOMER'S iI CUSTOMER'S <br /> SIGNATURE X ,'y— SIGNATURE X •�' 1` " <br /> Cmromer ecknvwkdges conleiner was r"hred jn g.d nrLtian and agrees f(1) b meimein Ir in I Cosbmer acknowledges eenleiner ww received in good condition and agrees (I) b maintain t in <br /> �ead anti sanirory order and candilion. RI ro pia«djn and en,only n co biners pmvtded tar II �ood and sanitary order and«nduien, 12) b pia dib and«mem only n ce brnms provided M <br /> r specific purpose,131 nm,o bad in arev of 2D,000 Ibs in an canbiasr vnd aorres b pay all �I. ,o,spedfc wrpau,(3)nor,o bad In ex«ss of 20,000 lbs in any con re,and agrees ro pay oN <br /> .xaa lem aad daawges caused by such overloodl 141 b rcimbune colkc,ar for ny damage b 1 ex,re Fees and damages caused by such everbadie (d) le reimbuae mlocbr for o�y damage b <br /> comoiror e.dudia swwble wear cad rear and mage caused by«Iledor <br /> al_, <br /> in emVlgre, IS) «n,ei«r nx<ludin reasomble..,and rear end damage aauud by«Ilecbr er ih ampl�}ae,ISI <br /> I bdemmFy and R;Ia collecbr harry a Iram any daim For mlury b a Ihkd port', and lel ,o peg ro indemnify oad Gold coYecror harmless 6om any claim k, injury b a third port', and (o,b pay <br /> reasonable and <br /> mrys Ides <br /> and cows far any«,ion required in coaaxnaa wish,his agreemem. I reaunoble a,brneys Fees rnsd cosh far any ac,ien required in connaamn wah,his agreemem. <br /> 00 NOT MITE BEEOW THIS NNE i- DO NOT WRITE BEIOW THIS LINE <br /> CU.YDS. CU.YDS. <br /> CU.YDS. �.. CU.YDS. <br /> 1_ <br /> z •d e6T :01 60 10 JeW <br />