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LT Universal Environmental, Inc. 28006 <br /> 4101 Industrial Way P O Box 996 Benicia, CA 94510 707-747-6699 <br /> HAZARDOUS WASTE HAULING REMEDIATION INDUSTRIAL CLEANING <br /> DISC 3240 ICC#MC271664 <br /> MANIFEST# Jltf4- DATE <br /> PO # <br /> CONTACT JOB# _ 3ys/-- _ _-- <br /> CUSTOMER O lviav <br /> JOB LOCATIONc� W u - <br /> CITY �s-4tuit7 STATE Ca,� <br /> 1 SERVICES PERFORMED or <br /> DELIVER BIN# <br /> PICK UP BIN# <br /> PRODUCTcwwi S'�u ORIGIN 5r"X.j DESTINATION agAParL-�" <br /> ARRIVE JOB 67 y3a N ARRIVE DISPOSAL ///I- i7ys <br /> ' DEPART JOB a 30 DEPART DISPOSAL i�yS <br /> TRUCK# I�Xr TRAILER# START-ell-elr— STOPZe3,?!0 TIME HOUR <br /> CAPACITY,T _ TIME OUT TO LESS HOUR <br /> # LOADS .-, DMIYDILBS/GALSLINER W/10— NET HOUR <br /> DISPOSAL SITE PER DIEM TOLL <br /> DRIVERS NAME C,'L - © .—i ZLABO�;EDRIVERS SIGNATURE OMER AUTHORIZATION <br /> ' NOTE En the evcnt of action or proceeding upon this agreement the court shall award to the prevailing party court costs and resonable attorney fees <br /> Interest wc[t be char ed at the rate of 112% er month 18% er annum on all overdue accounu <br /> 1 <br /> 1 <br /> • <br />