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P1* Transporta" - Remedia , Inc. 178' 7 9 <br /> ® A <br /> 1Enrimnmentel5eryizes i Y .J.:.l <br /> A Hazardous Waste Trenspontaoj a San Martin, CA Benicia, CA 'Fontana, CA ir PQ" <br /> A Hazardous Materials Management 408/683-0447 707/746-8287 8001321-1030. <br /> A General Engineering Construcliou DATE: f'is,3 <br /> SHIPPER Ee Yte Co CONSIGNEE ? fYa cIu i <br /> ADDRESS --SOX o4 70 ADDRESS �Ej t" o rr IM,c�. <br /> CITY Cn r917 CITY P[!c'A7Ma% Cf• Pte. RNvI <br /> CONTACT CONTACT <br /> CUST. PHONE CUST'. PHONE <br /> SPECIAL EQUIP. (FORKLIFT PLACARDS,ADD L STOPS,ETC) ' � _ MANIMST NO. <br /> INSTRUCTIONS: <br /> OTY. HAZ DESCRIPTION WT HRS MILES RATE AMOUNT <br /> BIN INFORMATION <br /> Dropped OH Picked Up <br /> DRIVER TRK b 9TLR <br /> NAME: NO.: NO . <br /> - - <br /> BEGINNING TIMEARRIVALTIME:: I'-n r7 ' /ARRIVALTIME: X;:50 _ UNLOADING TIME: (START) (STOP) ' <br /> LOADING TIME:(START) (STOP) <br /> PAPERWORK DELAY <br /> LEAVE SITE: <br /> LEAVE SITE: ENDINGTIME: O D <br /> SIGNATURE: RECEIVED BY: <br /> TERMS: Net 30 days.Consignee to pay any legal fees for collection of delinquent accounts,pld's the legal rate of interest of I 1 v,per month or 18 per year will be charged for all past due accounts. <br /> We make all deliveries inside curb and on Apt at customer's risk only and accept no responsibility for damages resulting from such deliveries. <br /> Claims for short or damage or overcharge must be filed with this receipt within 10 days. <br />