Laserfiche WebLink
- . - <br /> [r Universal Environmental, Inc. 25948 <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# MC2 1684 <br /> MANIFEST# DATE <br /> PO # aw <br /> CONTACT r� - r JOB# <br />' CUSTOMER Cp td e rte,(_ ec ern <br /> JOB LOCATION k-) in <br /> CV STAT <br />' SERVICES PERMED <br /> RF G��_ - ,psv1 ��C 1 ,/4-ttFI L <br /> r v <br /> DELIVER BIN # <br /> PICK UP BIN <br /> PRODUCT �n ORIGIN ESTINATI N <br /> ARRIVE JOB / ARRIVE DISPOSAL <br /> DEPART JOB DEISPOSAL <br /> TRUCK# �. TRAILER# L START TOP TIME HOUR <br /> CAPACITY Z TIME OUT TO LESS 1 HOUR <br /> 1 # LOADS DMND/: L�ALS LINER W/O NET HOUR <br /> DISPOSAL SITE PER DIEM TOLL <br /> REVERS NAME j�(/I<`,t,� LABORER <br /> D IV RS 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 /> 1 <br /> • <br /> i <br /> 1 <br />