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RUDY BONZI, IP 1. f R1 )Y BONZI, INC. <br /> r s.' 'i f �� <br /> c` <br /> ROAD <br /> INDUSTRIAL WASTE DISPOSAL � INDUSTRIAL <br /> �[FWASTE <br /> �DISPOSAL <br /> 2650 W. 2650 <br /> PHONE MODESTO,CALIF. 5358 PHONE MODESA tALS(1 r�99' a <br /> 538-1430 W/T# S38-1430 W/T# <br /> DATE % i ' iii.. OUST# ,/ DATE _ -_�'C-UST# <br /> CUSTOMER./'^/Z : CUSTOMER <br /> ADDRESS , CALIF. ADDRESS <br /> CALIF. <br /> DRIVER ._'. ,' TRUCK NO..: DRIVER -/.. <br /> - TRUCK NO. <br /> BIN TO BE REPLACED YES Eff NO❑ BIN TO BE REPLACED YES Q NO❑ <br /> COMMODITY WL G T —L-Q.-YQS.-L-Q.-YCOMMODITY 7EC METAL METAL <br /> PAPER PAPER <br /> CANS,USED CANS,USED <br /> CONCRETE OR DIRT ` E CONCREOEC 1Z <br /> CANNED GOODS 1 CANNED GOODS ( 7 <br /> WASTE WET I WASTE WET <br /> TRASH TRASH <br /> COMPACTED TRASH COMPACTED TRASH <br /> COMPACTED PAPER COMPACTED PAPER <br /> WOOD WOOD <br /> SPECIAL BURIAL SPECIAL BURIAL <br /> CUSTOMER'S CUSTOMER'S - <br /> SIGNATURE X i SIGNATURE X <br /> Cusiona.,adnowledg s otorairer was received good ccod4.n and abuses III nor accadn it to Customer acknowledges container was revived in good condbon and agnea 11) to mountain 1 <br /> gsod and sonttary.,do,and cord n (2)as place did add ro nerI only o conte ners provded I I good and sanimry orda and condition,(21 to place dm d cement only n containers rwdeA to <br /> Mot ape ific purpo , (3)rot to land in exmss of 20,000 lbs in any container and agrees ro loss,ell Ihat specific purpose, (31 not to bad in excess of 20.000 lbs in any coak finer and agrees ro pay all <br /> eo a fees and damages wined by such cora, dingp, (4) to r imbune callacter hr any damage ro ectra leen and acreages cowed by such ovelesid�ssgg, 14) ro rci bursa collector for any damage M <br /> wminer ludiy a wnoble ear and tam and dcmag mused by collooror or is em to es. 15) container Budin s able wear and tear and demob caused by c "r or is ereDbyeos, 151 <br /> indemniFy and hold collector harmles from any chi.fo,injury to a third party, and (6 yo Pay to indemnify and hold..boar hamdea hon any clam for injury ro a third poM,antl 161 to pay <br /> reosonoble airornoys fees and coals for any acHen required in connection with th agreement. rwsaneble al omeys fees and costs for any action required in connecrmn wilb this ogreemeni. <br /> DO NOT WRITE BELOW THIS LINE DO NOT WRITE BELOW THIS LINE <br /> CU.YDS. CU.YDS. <br /> CU.YDS. CU.YDS. <br /> 9 *d e10 :01 60 40 Jew <br />