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RUDY BONZI,_1C. QQQ {++' 1DY BONZI, INC. <br /> qW INDUSTRIAL WASTE DISPOSAL ! 99�+ +� ® ry{'�(��+ <br /> 2650 W. HATCH ROAD INDUSTRIAL WASTE DISPOSAL ( J 9 V 4 <br /> MODESTO,CALIF. 95358 2650 W. HATCH ROAD <br /> PHONE tl PHONE MODESTO, CALIF. 95358 <br /> 538-1430 WET N <br /> 538-1430 W/T# <br /> DATE ? - - •� CUST# /,` !' - DATE <br /> _ CUST# <br /> CUSTOMER_.' - CUSTOMER„ <br /> ADDRESS CALIF. ADDRESS /_ <br /> DRIVER -I" , TRUCK NO�:" DRIVER <br /> BIN TO BE REPLACED YES I] NO❑ BIN TO BE REPLACED - YES Q NO❑TRUCK NO. _ <br /> OM TY W HT YDS. CO ODI WEI T Q YDS <br /> METAL METAL <br /> PAPER PAPER <br /> CANS, USED CANS,USED _ <br /> CONCRETE OR DRTT CONCRETE OR DIRT_ <br /> CANNED GOODS CANNED GOODS <br /> WASTE WET 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 - <br /> SIGNATURE X CUSTOMER'S % <br /> SIGNATURE X i'f• <br /> Customer acknowledg conjoiner was redsheid in good condition and agrees (I) so mmi,c'n is'n Customer«lnowlaeg z'conroivr was revised Ing d condition and agrees h) b moinroin g in <br /> gmd and sanitary prier and condition, 12) to phv dirt and cement only n conminen provided or ,sari and snnibry order and cond'nion.(2� to place din and cement only n containers prodded Ip <br /> that specific purpom, 131 not in bad In excess of 20,000 Ibis in any container and agrees b pay all that rpecilic purpose,(3)not b bad in excess of 20 000 lbs in t net and a <br /> exon fees and damages causnd by such merinading, Id)to ret berm cdlecror lar a damn b any con ai ,sees b Pay all <br /> anroinm a.dudi reasonable ear and Icor and lama mused toll ci r or its e d 8?5 axlra teas and damages caused by inch o erl«dins' 14J b reimburm c 'lecbr tar omy,carriage b <br /> tg 0 by t6'M 1 ) container its ing reasonable r and tier and damage caused by vEe for or its em es.(51 <br /> ro Srdamnify end hi Id colkeror harmless from any cbim hr Injory b o third parry,and 6 io so, b l damnify and hold celixror harmess from n claim 6 in a to o third d <br /> o able attorneys Fees and casts fp any onion required in connection with Pots agreement. reasonable anorneys fees and—11 for any spin regwred a connection will,thiapagreentiml, to pay <br /> DO NOT Will BELOW THIS UNE DO NOT WRITE BELOW TNIE NNE <br /> CU.YDS. C <br /> CU.YDS. U.YDS.CU.YDS. <br /> ST -d e62 :01 60 1110 '�El <br />