Laserfiche WebLink
25947 <br /> V0 <br /> Universal EInc. <br /> 10 4101 Industrial Way P O Box 996 Benicia, CA 94510 707-747-6699 <br /> HAZARDOUS WASTE HAULING REMEDIATION INDUSTRIAL CLEANING <br /> ' DISC 3240 ICC# MC271 4 <br /> MANIFEST# DATE <br /> PO # <br /> CONTACT / JOB# <br /> CUSTOMER <br /> ' JOB LOCATION <br /> CITY STATE <br /> SERVICES PER�MECL <br /> DELIVER BIN # <br /> PICK UP BIN <br /> ' PRODUCT ORIGIN DESTINATION <br /> ARRIVEJOB ARRIVE DISPOSAL <br /> DEPA DEPART DIS OSAL <br /> ' TRUCK TRAILER#2. TARTTOP TIME HOUR <br /> WCAPACITY TIME OUT TO LESS HOUR <br /> * LOADS DM/YD/LBS/GALS LINER W/O NET HOUR <br /> ' DISPOSAL SITE P6 PER DIEM TOLL <br /> DRIVERS NAME 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 resonabie attorney fees <br /> Interest will be charged at the rate of] 1/2%per month 18%per annum on all overdue accounts <br /> 1 <br /> 1 <br /> 1 <br /> 1 <br /> :3 <br />