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RUDY BONA INC. `-� <br /> ' 3 <br /> r.. INDUSTRIAL WASTE DISPOSAL 8$06r. <br /> �. 2650 W.HATCH ROAD - O <br /> (PHONE MODESTO,CALIF. 95358 A <br /> I 538.1430 yV/T# p <br /> fD <br /> DATE i 1 _ OUST# - ,•'�;' <br /> CUSTOMER <br /> ADDRESS - _ �� g%, 'CALIF. <br /> i d <br /> DRIVER <br /> TRUCK NO. <br /> BIN TO BE.REPL4CED YES CT NO❑ I <br /> C MMOD TY WEIGHT CU. YD5. <br /> ETAL <br /> PAPER <br /> i <br /> CANS,USED <br /> i <br /> CONCRETE OR DIRT <br /> CANNED GOODS <br /> WASTE WET <br /> TRASH <br /> I <br /> COMPACTED TRASH <br /> COMPACTED PAPER <br /> WOOD <br /> SPECIAL BURIAL <br /> CUSTOMER'S i <br /> IGNATURE <br /> Cuslomar acknowledges containerwas received!to good condition and agrees Ip N maintain it in <br /> f�ood and sanirory oder and condition, IRI ro,{rlace dirt and cement only in comairen provided for <br /> (hat spefGc purpose,171 not to load in excess'.1 20,000 lbs in any container and agrees to pay all <br /> extra fees and damages caused by such avetbaft�g A ro reimburse collector for any damage to i <br /> container euluding reawnabb wear and Lem and tlomage cooled by calleclm or Its em m,I51 <br /> le indemnify and hdd cal error harmless loom any claim br injury to o Iltud patty,and IG)to pay <br /> reownable attorneys fees and costs Int any oction me,sumf in rc,im.ion with This agreement. <br /> ! DO NOT WRITE BELOW THIS LINE <br /> CU.YDS. <br /> CU.YDS. <br /> i <br /> J <br />