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ENV <br />ENVIRONMENT <br />INTERNAIONALL <br />,&nilmwuMarSmioermdCeuaweaar <br />BIN INSPECTION FORM <br />DATE JOB d SITE ADDRESS <br />O los- L6 oK 1Y ✓ ,g1JT L L K Q. <br />DELIVERY: DIN # LINERS - <br />- - PICKUP: DIN # - <br />�a <br />USTANY DAMAGE INSSNG PARTS, INDE A L <br />LIST ANY DAMAGE IMISSING PARTS, INDETAIL <br />LEFT SIDE <br />.LEFT SIDE - <br />RIGHT SIDE <br />RIOH4�T//SIDE <br />V� <br />LID <br />UD <br />J <br />BO M <br />BOOTy1T0M <br />REAR <br />FRONT <br />ZFN <br />%)R'JE/AR <br />-'U"TION <br />ON SITE: <br />BIN RETUR/N�ED TO: <br />�,cwr'Gt`q� list. <br />NOTES COMMENTS ISSUES FTC <br />OTES COMMENTS, ISSUES ETC <br />LI <br />DRIVERSIGNATURE @ DATE <br />Customer acknowledges receipt of rented items in good order with` exceptions noted above. <br />By accepting delivery of rented items, customer agrees to all terms andconditionsof this rental contract. <br />CUSTOMER SIGNATURE(`) DATE <br />• No one at job site to receive urdls, driver signs for customer. <br />Terms and Conditions: Bills are due and payable within 30 days of invoice date. We reserve the right to assess 1.5% <br />finance charge per month on past due accounts. Customer assumes full responsibility for all rented Items, including sate <br />and proper use, operation, routine maintenance, and storage..,Customer is responsible for all loss, damage or repair at <br />cost plus 15%. 1 <br />