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"D S <br /> TAG NO. <br /> r a ,�` Tit`.Iar Envlron'me,�W Services <br /> �t 1b PO Box 579 19502 <br /> Byron, CA X34514 <br /> Telephone No. (925) 634-6850 <br /> Facsimile No. (925) 634-0569 <br /> V aJO81JUk16E#$S{S} Nt€MHERS(.S} ,�;'i0fB'NUMEERSI5J .-JOEI-NUMBERS{S)- <br /> s _ <br /> Date � _ .. ,�: - .. .. ...w,.. <br /> # # - # # <br /> TRUCK TRAILER ,�,.a -"., �� <br /> NO. y NO. <br /> SUB. # # # # <br /> HAULER _ <br /> PRIMEjf�� CONSIGNEE -- <br /> € CARRIER i�> f G(':'nj+e. <br /> GENERATOR(S) DESTINATION - <br /> 1� b,La CITY Fru"C'k <br /> CIT , BEGINNIN ir¢3L GE ENDIN M EAGc; <br /> f (�� 5 <br /> FUEL-GALLONS 'FUEL-VENDOR <br /> ? AMTERIALS ' ;LOADING ;UI6tLt3ADtNG T-.y <br /> #1 #2 #1 #2 <br />€ MAN€FEST YARDS OR TIME�: TIME ' Time T€ME <br /> NO, IGHT ARRIVVE • LEM E ARRIVE:4 LEAVE'z <br /> ' I O <br /> 1,'30 lLv5' }z 7d <br /> i <br /> -- OFFICE USE ONLY <br /> 4 } TNS1HRS#LDSJYDS <br /> i • <br /> 5 , TRANSPORTATiON UNITS: <br /> & TRANSPORTATION RATE: <br /> Z20 <br /> 9 DISPOSAL UNITS: <br /> 14 -.1I"**.- DISPOSAL RATE: — <br /> 11 SUBTOTAL <br /> r <br /> 12 <br /> I13 BRIDGE-TALL <br /> COMMENTS: <br /> - iC3 �CYI "es`� MATEF21AL5: <br /> F <br /> START STOP DEt3t3CT NET <br /> yD �. Et TfME TIMEf- <br /> r <br /> DRIVER � 3� <br /> RECEIVED DATERPPR£3vEUBY TOTAL CHARGES. $ <br /> 4 <br /> f TERMS and CONDITIONS <br /> Payment terms are net thirty(3t3)days subject to a charge of 1.5%per month on all past due balances.In t€ie event ahe.accourit becomes delinquent anw It Is necessary to 1"Iftute <br /> leges proceedings,CUSTOMER agrees to pay DES'attarneys fees incurred in such proceeding,action or suit or in any appeal thereon.The pertles agree that actions or <br /> proceedings arising:in connection with this agreement shall be triad and€€5gated exclusivety in the courts loomed in Contra Costa County,California. <br />