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tiNvtARO+ <br /> SNO.TAG <br /> illard Envirc�r�rrl.enfal Services <br /> °s PO Box 579 21612 <br /> Byron, OA 94514 <br /> `I,Icphone No. (925) 634-6950 <br /> Facsimile No. (925) 634-0569 <br /> ' SL)S Nt7N85R5(Sj `. . 1OA1CT�QBERS{Sj r.. JQ8�PVM�#BERS(S) ::J68 NtTAA8Et2S(S} m <br /> Date _._. <br /> TRUCK /� TRAILER # � (� # <br /> # # <br /> NO. / r NO. �4 <br /> SUB. # # # # <br /> HAULER <br /> PRIME —�" � f CONSEGNEIw <br /> CAR IER <br /> GENERATOR(S) iDESTINATION ,k <br /> I <br /> i CITY <br /> CITY .rfi BEGINNING MILEAG�rt? ¢ E DING MILEAGE/ <br /> --T—FUEL-VENDOR <br /> MILEAGE d <br /> S FUEL-VEN <br /> �OREUEL_GALLCN <br /> �- ;MATERIALS,i ': .'` LOAbIhfG UNLOADkNG #2 #1 #2 <br /> MANIFEST w b4 YAROS OR TIME m TIME ', '..TIME :TIME .- <br /> I RTO ARRIVE...' LEAVE-4' Ai2RIVE M r-LEAtE <br /> i /! 3t6 <br /> I � z <br /> 3 OFFICE USE ONLY <br /> a TNS I HRS/LOS I <br /> i 5 TRANSPORTATION UNITS: <br /> 6 TRANSPORTATION RATE <br /> 7 7 SUBTOTAL: $ <br /> DISPOSAL UNITS: <br /> 1p DISPOSAL RATE: <br /> 1 <br /> SUBTOTAL: <br /> 12 <br /> 13 BRIDGE-TOLL: <br /> COMMENTS: MATERIALS: <br /> 1 <br /> START STOP D1 bUCT NET <br /> TIME <br /> RECEIVE€? DATE APPROVEI BY TOTAL.CHARGES: $ <br /> TERMS and CONDITIONS <br /> Payment temts are net Ihltty(30)days subject to a charge of 1.5%per month on all past due balances.In tl,e event the atcaunt becomes deiinq.x>nt and ft it necessary to institute <br /> legal proceedings,CUSTOMER doreas to pay RES'attorney's fees incurred Inc such proceeding,action or suit or in any.appeal thereon,The parties agree that actions or <br /> proceedings arising in connection with this agreement shall be tried and iitigated exclusively in the courts located.ir Contra Costa County.Califomia. <br />