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LT [Universal Environmental, Inc. 33391 <br /> 4101 Industrial Way P 4 Box 996 Benicia, CA 94510 707-747-6699 <br />' HAZARDOUS WASTE HAULING REMEDIATION INDUSTRIAL CLEANING <br /> DISC 3240 ]CC# MC271664 <br /> MANIFEST# DATE w Acs d <br />' PO # <br /> CONTACT JOB# T Y 3 <br /> CUSTOMER G- ` <br /> JOB LOCATION p c <br /> CITY STATE <br />' SERVICES PERFORMEDTV ma eg�'n m Jevv Lie At <br /> DELIVER BIN# <br /> PICK UP BIN # , <br /> PRODUCT ORIGIN DESTINATION <br /> ARRIVE JOB ARRIVE DISPOSAL 7 3,5 <br /> DEPART JOB_ `/5�3d DEPART DISPOSAL Z L QQ <br /> TRUCK# -7 TRAILER# Z ,L START /,9-6 STOP 22,36 TIME HOUR <br /> CAPACITY TIME OUT TO LESS HOUR <br />' #LOADS- - _ DMIYD/LB GALS p LINER W/O NET HOUR <br /> DISPOSAL SITE �,� a y` PER DIEM TOLL ? _ <br /> RIVERS NAME _ � LABOR <br /> 10 <br /> 01�[­VERS SIGNATURE CUSTOME AUTHORIZATION <br /> [COTE 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 1 112%per month(18%per annum)on all overdue accounts <br /> 1 <br /> • <br /> 1 <br />