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OMNI'RDy <br /> 7. <br /> D S <br /> A aTAG NO. <br /> - r �i1lard Environmental Services <br /> s _ _0 _ <br /> ! y Li PO Box 579 2 1 5 1 <br /> FFtV4Gti Byron;;, CA 94514 <br /> t Telephone No. (925) 634.6851 <br /> Facsimile No. (925)634-0569 <br /> (late JQBNUMBER&{s) IOBNt11A8ER5(S) I013NUMBERS(S):: JOSNUMSERS(S) <br /> lC <br /> TRUCK TRAILER # # # <br /> NOa <br /> SUB. <br /> HAULER ff <br /> PRIME ""` <br /> CARRIER CONSIGNEE <br /> I <br /> GENERATOR(S) <br /> `� [ l <br /> { �t`�l DESTINATION �Ls � �,. t X.1,' CJ� J <br /> CITY <br />' CITY �-•� BEf11�1 �EIV)tM1� <br /> 7N FUEL-GALLONS FUEL VENiJC)R <br /> F <br /> MATERIALS LOADING UNLOADING y #2 i#1 #2 <br /> NO MANIFEST YARDS OR TIME TIME "GIME 'TIME`-' <br /> NO- WEIGHT ARRIVE LEA ARRIVE tF_AVE <br /> ��AA [`')L - i <br /> aOFFICE USE ONLY <br /> a TNS1HRS1LDSIYDS <br /> s '� 0 <br /> TRXNSPTAION UNIT5:1 If[ <br /> 6 O ION RATE: <br /> '. r SUBTOTAL: - <br /> I � <br /> DISPOSAL UNITS:) <br /> # 10 DISPOSALRATE: <br /> If <br /> 11 SUBTOTAL. S <br /> 1 + 12 <br /> 13 v BRIDGE-TOLL: <br /> FMMENTS: MATERIALS: <br /> II <br /> I <br /> S77aKi 5TO DEDUCT tzET <br /> TiME TIM <br /> e im,ol <br /> v EI1 DATE APPROVEDBY <br /> E s TQTAi.CHARGES; $ <br /> TERMS and CONDITIONS <br /> Payment terms are net thirty(30)days subject to a charge of 1.5%per month on all past due Wahces.Inthe se evert the account becomes detirtquent and it is necessary to institute <br /> legal proceedings,CUSTOMER Mees to pay DES'attorney's fees incurred In such procaed.action or suit or in any appaal thereon.The parties agree that actions of <br /> proceedings arising in connection with this agreement shad be tried and I'ttigated exclusively In the courts located in Contra Costa County,California. <br />