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SHIPPING ORDER <br /> P.U.C. #167667 pZLLARD TRUCKING, IN ,d FREIGHT BILL <br /> EPA#CAD981692809 <br /> Hazardous Waste Hauler#1715 P.O. BOX 218 <br /> BY � <br /> Date — / / 19 (5 ��lUl TYPE OF LOADING <br /> TRUCK (?q TRAILER �� Off# ❑BELT <br /> NO DD Np ❑BUNKER <br /> SUB. JAN 1 21993 OWER HAND <br /> HAULER ✓� <br /> ��q/�� TAG �E1EAL <br /> CAIRRIERJ✓j /(ctA / `b NO. F <br /> SHIPPER /. 7DO f' �bESTINATION <br /> POINT CITY <br /> OF ORIGIN >✓ <br /> J P.O. NO. <br /> CITY <br /> FUEL No.aHtzles ONE WAY MILEAGE <br /> MATERIALS C LOADING UNLOADINGC <br /> TrucWB <br /> SCALE YARDS OR TIME TIME TIME TIME GAL. J <br /> NO. TAG NO. WEIGHT ARRIVE LEAV ARRIVE LEAVE <br /> Q ++ �O TIME STARTED LAST LOAD—� <br /> 1 3 \ S O O �� TIME ARRIVED TO DUMP LAST LOAD— <br /> 2 _/� NET RUNNING TIMELAST LOAD— <br /> 3 /S3 p 3 S O 3 TIME FINISHED DUMP LAST LOAD— <br /> Q 4 TIME ALLOWED TO RETURN,SAME <br /> 5 q AS NET RUNNING TIME LAST LOAD— <br /> ` OFFICE USE ONLY <br /> 6 <br /> TOTAL HOURS OR TONS <br /> 7 <br /> RATE PER HOUR OR TON $ <br /> 8 <br /> SUBTOTAL $ <br /> 9 <br /> SUR CHARGES $ <br /> 0 <br /> 2 <br /> 3 <br /> 4 <br /> SALES TAX $ <br /> 5 <br /> BRIDGE FARE $ <br /> 6 <br /> 7 <br /> START? STOP DEDUCT TME TOTAL CHARGES $ <br /> TIME <br /> DRIV RECEIVED <br /> BY ^I <br /> WE MAKE DELIVERIES INSIDE THE CURB LINE AND ON THE LOT AT THE CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY FOR DAMAGES RESULTING FROM SUCH DELIVERIES. <br /> ALL BILLS DUE AND PAYABLE BY THE 10TH OF THE MONTH.A 1%%PER MONTH CHARGED ON PAST DUE ACCOUNTS.THIS IS AN ANNUAL <br /> PERCENTAGE RATE OF 18%.CUSTOMER WILL BE RESPONSIBLE FOR ALL COURT AND ATTORNEY COSTS FOR COLLECTION. ' <br /> SIERRA OFFICE SUPPLIES 8 PRINTING (916)671-0620 <br /> S. <br />