Laserfiche WebLink
JDY BONZI, INC. <br /> 0 <br /> n <br /> ® INDUSTRIAL WASTE DISPOSAL `'FS� ' <br /> 2650 W. HATCH ROAD <br /> PHONE MODESTO,CALIF. 95358 <br /> 538-1430 WET p <br /> I DATE .i. _' C-USTB <br /> CUSTOMER,: <br /> ADDRESS �- , CALIF. <br /> DRIVER,//;" TRUCK NO... <br /> BIN TO BE REPLACED YES Q NO❑ <br /> CO ODI Y EI T C Y <br /> METAL <br /> PAPER <br /> ? CANS,USED <br /> i CONCRETE OR DIRT <br /> CANNED GOODS <br /> WASTE WET <br /> TRASH <br /> COMPACTED TRASH <br /> COMPACTED PAPER <br /> WOOD <br /> SPECIAL BURIAL <br /> CUSTOMER'S / <br /> SIGNATURE X <br /> Customer acknowledges cor ine w� in good condition and...... (1) to mainwin 't in <br /> good and sonifary order and condifion, 12)a plan dirt end tamer,only in containers padded far <br /> Nal apxi(ic purpose,(3)net b bed in eeeees d 20,000 lbs in..,camainer and.goes to p.y ell <br /> ems lees and damages ca red by such.,a,6.di% (d) to reimburse ml1cc,,for any domcge ro <br /> container exdudin <osanable weor ord tro.and damage mused by collacar or in em�1o�� I51 <br /> ro mdemnily and old colleder harmless from any claim ler injury a a third port', odd I6) a pay <br /> reo,onable anomeys lees and cosi,far cry acnes required in conncnen with this ograement. <br /> DO NOT Mill BELOW THIS LINE <br /> CU.YDS. <br /> CU.YDS. <br /> T T 'd ezz :OT 60 40 Jew <br />