Laserfiche WebLink
28005 <br /> ' r r Inc.LT Universal Environmental, <br /> 4101 Industrial Way P 0 Box 996 Benicia, CA 94510 707-747-6699 <br /> HAZARDOUS WASTE HAULING REMEDIATION INDUSTRIAL CLEANING <br /> ' DISC 3240 ICC# MC271664 <br /> MANIFEST# q 4djL 1 DATE <br /> PO # <br /> ' CONTACT JOB# <br /> CUSTOMER <br /> ' JOB LOCATION vU w <br /> CITY ," STATE <br /> SERVICES PERFORMED k ati[ <br /> DELIVER BIN# <br /> PICK UP BIN# <br /> ' PRODUCT 0t ORIGIN DESTINATION��- � <br /> ARRIVE JOB a / ARRIVE DISPOSAL �r prj S <br /> DEPARTJOB ,21,q 14 b �` DEPART DISPOSAL <br /> ' TRUCK# 11L5- TRAILER#, , ST RT��r3ly STOP_[ • TIME HOUR <br /> CAPACITY b"' G TIME OUT TO j'"D LESS HOUR <br /> # LOADS DMNDILB .��3 LINER WIO NET HOUR <br /> ' DISPOSAL SITE C PER DIEM TOLL <br /> DRIVERS NAME , �}. o,J LABORE <br /> DRIVERS SIGNATURE CUSTO ER AUTHORIZATION <br /> ' MOTE In the event of action or proceeding upon this agreement the court shall award to the prevailing party court costs and resonable attorney fees <br /> Interest will be charged at the rate of 1 lR%per month 18%per annum on all overdue accounts <br />,1 <br /> t <br /> • <br /> 1 <br /> 1 <br />