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32598 <br /> Lam' Universal Environmental, Ina <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# Scj DATE e <br /> PO # <br /> CONTACT JOB# <br /> CUSTOMER Q 1 p <br /> JOB LOCATION <br /> CITY �� ^c�! STATEpl—_ <br /> SERVICES PERFORMED <br /> K tCts o er t/ G <br /> DELIVER BIN # <br /> PICK UP BIN# <br /> PRODUCT ORIGIN DESTINATION <br /> ARRIVE JOB i vo r7ARRIVE DISPOSAL 3 <br /> ' DEPART JOB ., DEPART DISPOSAL <br /> TRUCK# �^ TRAILER# �d 7 START STOP IME HOUR <br /> CAPACITY —*fL" TIME OUT 7/'&,, PM TO ?I Rcl LESS HOUR <br /> ' # LOADS_ DMIYD/LBS/ LINER W/O NET HOUR <br /> DISPOSAL SITE PER DIEM TOLL <br /> RIVERS NAMES/ sc� R � LABORER <br /> DRIVERS SIGNATURE CUSTOMER AUTHORIZATION <br /> NOTE In the event of action or proceeding upon this agreement the court shalt award to the prevailing party court costs and resonable attorney fees <br /> Interest will be charged at the rate of 1 I2%per month(IS%per annum on all overdue accounts <br /> 1 <br /> i <br /> i <br /> i <br /> i <br /> 1 <br /> i <br />