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Resource Recovery Program <br /> IIV P.o.Box 24055,Ms 702 TRUCKED NON-HAZARDOUS WASTE DISPOSAL AGREEMENT <br /> Oakland,CA 94623-1055 <br /> EBMUD (5 10)287-1336 Fax(510)287-0621 <br /> Section to be completed by EBMUD <br /> PERMIT BUSINESS NAME("PERMIT HOLDER") PAYEE BILLING ACCOUNT# <br /> EBMUD TRUCKED WASTE DISPOSAL PERMIT NUMBER EXPIRATION DATE <br /> DISPOSAL AGREEMENT CONTACT INFORMATI N <br /> Company Contact Name7itle <br /> Oq <br /> 5 4,2j 4, -7- -7,D77 <br /> Mailing <br /> ,Address—Street Phone Number QQ <br /> z 10 <br /> City Zip Code Fax Number <br /> p] 6 CW �Y�i►' a ' �-� 1' `x`513_ �� <br /> Electronic mail(e-mail) Cell Number <br /> DISPOSAL AGREEMENT TERMS <br /> 1. The Disposal Agreement Contact shall pay disposal rates based on the Waste Type indicated on the Waste <br /> Acceptance Agreement and as it corresponds on the current EBMUD Fee Schedule. <br /> 2. Disposal rates are calculated based on full volume of transport vehicle. <br /> 3. Payment of the fees and charges are due when billed by the District and considered past due after 30 days. <br /> t 4. The Disposal Agreement Contact will pay in full all fees and upon receipt of monthly bill. <br /> 5. Overdue accounts may be referred to an outside agency to enforce payment. <br /> 6. EBMUD may amend the fees and charges during the term of the Permit. <br /> __LkL;' e. 0-cu f <br /> PRINT TITLE <br /> (11"' 410 Jo <br /> L44�_=DISPOSAL AGREEMENT--- PER"OLDER NATURE ATE <br /> Tp BE S IGNED BY CHIEF EX EC LfTI YE O FPiCER OR DULY A UTHAR izrD RE PRI:SWATI V E.) <br /> Revised 12/2/08 <br />