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• �"fes J . <br /> NG ORDER <br /> P.U.C. 1116 • and FRIEIGHT BILL <br /> EPA 114 ,692909 DULLARD tRUCKING, C. <br /> Hpardous Wssts Himler 117M <br /> 19P.O. BOX 579 55878 <br /> oa+e f♦A E��_ 1 BYRON, CA 94514 <br /> TRUCK r^ FRAILER ' (5") 634-6850 TYPE OF LOADING <br /> NO..- 0.NO. <br /> SUB. ❑BUNKER 0 BELT <br /> HAULER ❑-POWER 0 HAND <br /> PRIME JOB <br /> CARRIER r NO. L ` '_ CONSIGNEE 2 <br /> SHIPPER �?� `' 0 DESTINATION '-> > <br /> POINT <br /> ! " OF ORIGIN `� �_= �'l; CITY ` <br /> CITY S_' <, C{ i' Ci P.O. NO. i <br /> MA RIALS FUEL No,of Axles ONE WAY MILEAGE <br /> LOADING UNLOADING <br /> MANIFEST YARDS OR TIME rlMe I WE TIME Truck Type NOr NO. WFIGH7 ARRIVE LEAVC ARRIVE LEAVE GAL. <br /> TIME STARTED LAST LOAD— <br /> 1 ?(���`� ` -# .� ",sir• tC_.1-- � <br /> TIME ARRIVED TO DUMP LAST LOAD- <br /> ! „.. NET RUNNING TIME LAST LOAD- <br /> 3 ' <br /> TIME FINISHED DUMP LAST LOAD- ! <br /> 4 <br /> TIME ALLOWED TO RETURN,SAME <br /> 5 AS NET RUNNING TIME LAST LOAD- ' ' <br /> 6 OFFICE USE ONLY n <br /> 7 -� ; `• . �, TOTAL HOURS OR TONS Mp <br /> 8 RATE PER HOUR OR TON $ J 1111} <br /> g SUB TOTAL' $ V <br /> 10 SUR CHARGES $ ' <br /> i1 <br /> 12 <br /> 13 <br /> 14 <br /> 15 SALES TAX <br /> 16 BRIDGE FARE $ <br /> 17 <br /> START STOPDEDUCT NET TOTAL CHARGES <br /> TIME TIME.,3 r r <br /> DRIVER RECEIVED APPROVED DATE /Z� pS <br /> BY (BILLING) <br /> DATE <br /> RECEIVED BY DA E APPROVED BY APPRO ED <br /> (PAYROLL) <br /> MAKE DELIVERIES INSIDE THE CUR13 LINE AND QIJ IHE LOT Al THE CUSIOMLH'S RISK UNLY AND ACCEPT NO RESPONSIBILITY FOR DAMAGES RESULTING FROM SUCH DELIVERIES. <br /> ALL BILLS DUE AND PAYABLE BY THE 10TH OF THE MONTH.A 1 Y,%PER MONTH CHARGED ON PAST DUE ACCOUNTS.TAiS IS AN ANNUAL <br /> PERCENTAGE RATE OF 10%.CUSTOMER WILL BE RESPONSIBLE FOR ALL COURT AND ATTORNEY COSTS FOR COLLECTION. <br /> Cornrol No: / i" <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY LOAD,AND MUST BE SUBMITTED AT THE GATE FOR ENTRY. <br /> ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE. DELIVERIES MUST BE SCHEDULED`ON <br /> A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> " _I!" 5 <br /> WHITE-FACILITY COPY YELLOWTRANSPORTER COPY PINK-GENERATbRCOPY " <br />