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Inc.e� 25943 <br /> LT Universal Environmentai, <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#MC27166 <br /> MANIFEST# DATE Q <br /> PO # <br /> CONTACT JOB# <br /> CUSTOMER ,�1(f ��---' � <br /> JOB LOCATION S <br /> CITY STAT <br /> SERVICES PERFORMED <br /> DELIVER BIN # <br /> PICK UP BIN# <br /> ' PRODUCT ORIGIN DESTINATION <br /> ARRIVE JOBO;71S: ARRIVE DISPOSAL <br /> DEPARTJOB DEPART DISPOSAL C) <br /> TRUCK# TRAILESTART STOP TIME HOUR <br /> CAPACITY kIME OUT TO LESS HOUR <br /> # LOADS DMND/LBS/GALS LINER W/O NET HOUR <br /> ' DISPOSAL SITE PER DIEM TOLL <br /> DRIVERS NAME .� LABORER <br /> MdU4&;4'— <br /> DRIVERS SIGNATURE CUSTOMER AUTHORIZATION <br /> INO'T'E 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 1/2%per month 18%per annum on all overdue accounts <br /> 1 <br />