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02/07/2006 17: 18 925634P -4 DILLARD TRUCKT PAGE 03/29 <br /> 104 r o <br /> SAI <br /> "T <br /> o <br /> Tillard Environmental SerVices TSG No. <br /> &F+tvIGPO Box 579 23245 <br /> Byron. CA 94514 <br /> Telephone No. (925) 634-6450 <br /> Facsimile No. (925) 634-0569 <br /> Date / JOB NUMBERS(S) J41&IVtJM�E'4SCt3) Jt7t3 Nf]ItrltlEfiS(S} Jt�B IVt1N1BERS(Sy: <br /> TRUCK SD TRAI LER z # # # # <br /> NO. — NO. � -7 . <br /> SU$. # # # # <br /> HAULER _ <br /> PRIME CONSIGNEE <br /> CARRIER ) <br /> GENERATORS) � DESTINATION <br /> 44 r iOID� /t/ <br /> CITY <br /> CITY 54- �-6" <br /> BEGINNING MILEqG D 7 7 ENDING MILEVc, E <br /> MATERIALS' LOADING UNLOADING=-- VEL GALLONS FU -VENDOR <br /> �1 #2 #1 #2 <br /> NO MANIFEST YARDS OR' TIME TIME. TIME TIME,.' <br /> NO, WEIGHT ARRIVE LEAV7= ARRIVE ice: <br /> Al1 <br /> 2 <br /> 3 OFFICE USE ONLY <br /> A TNS/HRS/LDS/YDS <br /> 5 ✓ TRANSPORTATION UNITS. <br /> 8 TRANSPORTATION RATE: <br /> 7 / SUBTOTAL; $ <br /> s- <br /> 9 DISPOSAL UNITS: <br /> to DISPOSAL RATE: <br /> 11 SUBTOTAL: <br /> 12NZ <br /> .� <br /> 13 BRIDGE-TOLL- <br /> COMMENTS=;0.7 v c.u+,U <br /> •�- r <br /> MATERIALS. <br /> =a <br /> START STOP DEDUCT NET <br /> t I TIME TIME <br /> ORIv R <br /> REMED DATE APPROVED BY TOTAL CHARGES: $ <br /> TERMS and CONDITIONS <br /> Paymerrt terms are net thirty(30)days sUbjeet to d charge of 1.5%per month on all pest clue balances,in U in event tho account beeomea delinquent and Itis necessary,to In.0tute <br /> Iegai proceedings,CUSTOMER agrees m pay DES'attorney's fear ineurretl in such proeeedlnq,action or suit or in any appall thereon.The partleh agree that.aetions of <br /> Lag= <br /> connection wish this agreement shall be tried and UUgated excluslvely.ln the caurm 14catad in Contra Costa County,Califomle. <br />