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■ <br /> LT Universal Environmental, Inc. 32600 <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# Sr. , DATE <br /> PO # <br /> CONTACT JOB# <br /> CUSTOMER Q 6:- ZSG a <br /> 1 JOB LOCATION k 3W e ki C <br /> CITY G { STATS _ <br /> SERVICES PERFORMED <br /> DELIVER BIN# YA Ar, <br /> •! <br /> 1 PICK UP BIN # <br /> PRODUCT ORIGIN DESTINATION <br /> ARRIVE JOB v/ ARRIVE DISPOSAL I7 `_ <br /> DEPART JOB /rt DEPART DISPOSAL <br /> TRUCK# //A4 TRAILER# L START STOP TIME HOUR <br /> CAPACITY TIME OUT TO LESS HOUR <br /> ' # LOADS DM/YD/LBS/GALS - LINER WIO NET HOUR <br /> DISPOSAL SITE4 114-, PER DIEM TOLL <br /> DRIVERS NAME ,,4 - LABORER <br /> P <br /> DRIVERS SIGNATURE CUSTOMER AUTHORIZATION <br /> NOTE 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 I/2%per month 18%per annum on all overdue accounts <br /> 1 <br /> i <br /> 1 <br /> 1 <br />