Laserfiche WebLink
an mm <br /> Y' <br /> j` 33398 <br /> -0 Uniqrsol'Environmental, Inc. y <br /> 4401 Industrial Way P Q Box 996 Benicia, CA 94510 707-747-6699 <br /> HAZARDOUS WASTE HAULING REMEDIATION INDUSTRIAL CLEANING <br /> DISC 3240 ` ' ICC#MC271664 <br /> MANIFEST# JV�' DATE <br /> PO # <br /> CONTACT JOB# 3 7 <br /> CUSTOMER <br /> JOB LOCATION �o f ` <br /> - CITY -'� - STATE - <br /> f SERVICES PERFORMED Ct, �;,� �� ,� - �v-�,•y' 1 <br /> DELIVER SIN# <br /> PICK UP BIN# <br /> PRODUCT %`/7 ORIGIN DESTINATION 7d- <br /> ARRIVE JOB ARRIVE DISPOSAL <br /> DEPART JOB > DEPART DISPOSAL <br /> TRUCK# &1,7 TRA LER# '22a.4 START S STOP TIME HOUR <br /> CAPACITY TIME.OUT /,mac/ TO/9v-?'0/if-3 d LESS HOUR <br /> #LOADS DMIYDILB GAL &a o LINER W1O NET HOUR <br /> DISPOSAL SITE y k g7,0 k?t!FPER DIEM TOLL dfr <br /> DRIVERS NAM 1, LABORER <br /> ` DRIVERS SEG ATURE7 1 <br /> CUSTOMER AUTHORIZATION <br /> NOTE In the event1if action or proceeding upon this agreement,the court shall award to the prevailing party court costs and resonable attorney fees <br /> Interest will be ch d at the rate of i W%per month 0 8%per annum on all overdue accounts <br /> 1 <br />