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u <br />INV <br />I—42 ENVIRONMENTAL <br />N INTERNATIONAL <br />PariroemmldSa�iorrmdCavd�tim <br />BIN INSPECTION FORM <br />DATE JOBS SITE ADDRESS <br />MA <br />—I zoz A/e vr`TCfi G o <br />DELIVERY: BIN # LINERS <br />PICKUP: BIN # <br />LISTAWDANAGf IMISSINGPARTS, IN DETAIL <br />LIST ANY DAMAGE IMISSING PARA IN DETAIL <br />LEFT SIDE <br />LEFT SIDE <br />RIGHT SIDE <br />RIGHT SIDE <br />LID <br />LID <br />BOTTOM <br />BOTTOM <br />FRONT REAR <br />FRONT REAR <br />BIN LOCATION ON STfE: <br />BIN RETURNED TO: <br />NOTES COMMENTS. ISSUES TC <br />NOTES COMMENTS ISSUES ETC <br />c oVy Cma�m� 4- F ,p <br />ma,/ <br />f% �u5�-tee rD L9 xcl fi Le. <br />DRIVER SIGNATURE <br />DATE <br />Customer acknowledfres receipt of rented items in good order with exceptions noted above. <br />By accepting delivery of rented items, customer agrees to all terns and conditions of this rental contract. <br />CUSTOMER SIGNATURE(') <br />No one at job site to receive units, -driver signs for customer. <br />DATE <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 sale <br />and proper use, operation, routine maintenance, and storage. Customer Is responsible for all loss, damage or repair at <br />cost plus 95010. <br />