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P.U.C. 4167667 SHIPPING ORDER <br /> EPA#CAD961692609' DILLARD TRUCKING, INC. and FREIGHT BILL <br /> Hazardous Waste Hauler/1715 <br /> P.O. BOX 218 <br /> Date / 1 s BYRON, CA 94514 32914 <br /> TRUCK TRAILER tV (510) 634-6850 TYPE OF LOADING <br /> NO. NO. <br /> SUB. ❑BUNKER ❑BELT <br /> HAULER WER ❑HAND �{ <br /> PRIME E TAG CONSIGNEE <br /> CARRIER t �i`.�/ NO. <br /> SHIPPER 1�DD� r 1 DESTINATION y1 <br /> NT <br /> OFORIGINV ✓cJt. ,fis/• CITYf ' 7 F <br /> CITY �JfY , <br /> P.O. NO. <br /> MATERIALS I LOADING UNLOADING FUEL ND. les ONE WAY MILEAGE <br /> NO SCALE YARDSOR TIME TIME TIME TIME TPB <br /> TAG NO. WEIGHT ARRIVE LEAVE ARRIVE LEAVE GAL. v <br /> 1 Z 3D ; i �;dt� Id-1,70 TIME STARTED LAST LOAD— <br /> 2 TIMEARRIVEDTO DUMPLAST LOAD— <br /> loon <br /> 3 J NET RUNNING TIME LAST LOAD— <br /> 4 TIME FINISHED DUMP LAST LOAD— <br /> 5 TIME ALLOWED TO RETURN,SAME <br /> AS NET RUNNING TIME LAST LOAD— <br /> 6 OFFICE USE ONLY <br /> 7 TOTAL HOURS OR TONS <br /> 6 RATE PER HOUR OR TON $ <br /> 9 SUBTOTAL $ <br /> U SUR CHARGES $ <br /> 1 <br /> 2 <br /> 3 . <br /> 4 <br /> 5 <br /> SALES TAX $ <br /> 6 $ <br /> BRIDGE FARE <br /> 7 <br /> START STOP DEDUCT NET L� <br /> i �1 TIME .� TIME �G✓g TOTAL CHARGES $ <br /> DRIVER a RECEIVED <br /> BY X <br /> WE iMKE DELIVERIES INSIDE THE CURB LINE AND ONTHE LOT AT THE CUSTOMERS RISK ONLY AND ACCEPT NO RESPONSIDILF Y FOR DAMAGES HESULTING FROM SUCH DELIVERIES. <br /> ALL BILLS DUE AND PAYABLE BY THE 10TH OF THE MONTH.A 1'A%PER MONTH CHARGED ON PAST DUE ACCOUNTS.THIS IS AN ANNUAL <br /> PERCENTAGE RATE OF la%.CUSTOMER WILL DE RESPONSIBLE FOR ALL COURT AND ATTORNEY COSTS FOR COLLECTION. <br /> SIERRA OFFICE SUPPLIES I PRINTWD(918)B91-0p10 <br /> r a,. <br /> � k <br /> i <br />