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PPING ORDER <br /> • P.U.C. # 67 dFREIGHT GHT BILL <br /> EPA #& Dr <br /> 169 <br /> 2809 I`DILLARD TRUCKING, (11t. a <br /> Hazardous Waste Hauler#1715 <br /> _ P.O. BOX 218 <br /> Date /I / 2, / 19 q1t BYRON, CA 94514 <br /> TRUCK I G, TRAILER J�% (510) 634-6850 TYPE OF LOADING <br /> NO. •J NO <br /> ❑BUNKE= ❑BELT <br /> SUB )q <br /> HAULER I„ flu/ / K¢ POWER OHAND <br /> PRIME TAG CONSIGNEE <br /> CARRIER /L(., NO. . <br /> SHIPPER 9L],cG Com(>��(3-� DESTINATION <br /> �� F <br /> POINT �/� CITY <br /> = CK <br /> OF ORIGIN '/ '(l)( 1 L/fir (1 le� <br /> CITY ��( ,S E %j (-�,/I/ P.O. NO. a <br /> MATMLFUEL No o .les ONE WAY MILEAGE <br /> _ J; :1 LOADING UNLOADING <br /> SCALE YARDS ORFARRIVE <br /> TIME TIME TIME TFUCk Type <br /> NO. TAG NO. WEIGHT LEAVE ARRIVE LEAVE GAL. <br /> TIME STARTED LAST LOAD—I 2TIME ARRIVED TO DUMP LAS'-DAO-3 ` � i '/� ; (� 3. ?e) NET RUNNING TIME LAST LOAD— /7VTIME FINISHED DUMP LAST LOAD— /S <br /> TIME ALLOWED TO RETURN,SAME <br /> 5 AS NET RUNNING TIME LAST LOAD— (' <br /> 6 OFFICE USE ONLY <br /> 7 TOTAL HOURS OR TONS <br /> 8 RATE PER HOUR OR TON $ <br /> T <br /> 9 SUBTOTAL $ <br /> 0 SUR CHARGES $ <br /> Ll2 <br /> 3 � <br /> 4 <br /> 5 I SALES TAX $ <br /> 6 BRIDGE FARE $ <br /> 7 <br /> START Y STOP DEDUCT NET <br /> : J /� (% L -� TIME TIME 5 TOTAL CHARGES $ <br /> DRIVER /. �.J / RECE'JED Y <br /> WE 'HE CURB LINE AND ON THE LC-ii-.•ECUS'OMERSRISK ON-• +YO nCCEPi 40ore=•,g gi_.,-. _.,.-]ES'EidTING FROM SUCHJc_IVERIES <br /> ALL BILLS DUE AND PAYABLE BY THE 10TH OF THE MONTH.A PER MONTH CHARGED ON PAST DUE ACCOUNTS.THIS IS AN ANNUAL <br /> PERCENTAGE RATE OF to%.CUSTOMER WILL BE RESPONSIBLE FOR ALL COURT AND ATTORNEY COSTS FOR COLLECTION. <br /> SIERRA OFFICE S.PP_IES&PRINTING 9161631-0620 <br />