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28001 <br /> � <br /> L. EnvironmentA� �lnlue�sal Inc. <br /> 4101 Industrial WayP C Box 996 Benicia, CA 94510 707-747-6699 <br /> HAZARDOUS WASTE HAULING REMEDIATION INDUSTRIAL CLEANING <br /> ' DISC 3240 d o ICC#MC271664 <br /> MANIFEST# DATE <br /> ' PO # <br /> CONTACT JOB# 2 <br /> CUSTOMER ,le WAW c rztP <br /> Z-4 c �-U <br /> ' JOB LOCATION w L" <br /> CITY STATE <br /> SERVICES PERFORMED A r 7A 0 geo u ' <br /> DELIVER BIN# <br /> ' PICK UP BIN# ' <br /> PRODUCTotc t�- it ORIGIN DESTINATION g <br /> ARRIVE JOB I ARRIVE DISPOSAL <br /> DEPART JOB Jn55 DEPART DISPOSAL <br /> TRUCK# //�^ TRAILER# ; p� START STOP TIME HOUR <br /> CAPACITY TIME OUT TO LESS HOUR <br /> #LOADS DM/YD/LBS/GALS XGS,Z LINER WIO NET HOUR <br /> DISPOSAL SITE ,f� ti� �' �� PER DIEM TOLL <br /> DRIVERS NAME G 1 ,F b7s, LABORER <br /> DRIVERS SIGNATURE "CUSTOMER AUTHORIZATION <br /> ' NOTEh,".the event of action or proceeding upon this agreement,the court shall award to the prevadmg party court costs and resonable attorney fees <br /> Interest wdl be char ed at the raft of 1 1(L% r month 18% r annum on all overdue accounts <br /> 1 <br /> • <br />