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<br /> GENERATOR'S/SHIPPER'S INITIAL COPY
<br /> [01ae@
<br /> GENERATOR'S INITIAL COPY
<br /> MANIFESTS
<br /> SEHVII'I;,+�.I;.
<br /> 4&INTRINSIC
<br /> TRANSPORT'AT'ION, INC.
<br /> 3250A Dutton Avenue NOKKALARDOW
<br /> Sarva Rosa,CA 95407 WABrw XIANPEST D.rn,.mr,sre Ad.eae nr emarem r�.�m.enu amr.ael
<br /> rn a amna aw,�p Amary
<br /> Phone:(707)578-0960
<br /> Fax: (707)578-5405
<br /> FREIGHT BILL
<br /> ID
<br /> DATE: —_>—_ / /r1 an"ane,icarw�vxame u ,
<br /> TRUCK a: :TREILER. EVASUBHAULER:PRIME CARRIER____ �� J — -
<br /> L:SiL___CUSTOMER:
<br /> GENERATOR: - / —
<br /> DUMPSITE N
<br /> LOAD SITE: +V.Conra;ners
<br /> ou.,rory
<br /> CITY:
<br /> SERVICE PERFORMED: /-� /„ OFFICE USE ONLY
<br /> 5' I
<br /> TOTAL HOURS,
<br /> TONS,OR LOADS
<br /> LOADING DELAYS: RATE $
<br /> SUBTOTAL 5
<br /> UNLOADING DELAYS:
<br /> MISCELLANEOUS NOTES:
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<br /> IANIFEST tts: __-- — -- __ na.:<.pamv meaxma wax ❑oa„a,.
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<br /> Feo aPNxa U.B.EPA ID Numq, I
<br /> TOTAL CHARGES $ nG.syo,e,reauNmde Fan'mraDereraaD i
<br /> ---L---—
<br /> rARr P ournoxs I Re—NMI,,,Approval
<br /> NVERtrveoer Payroll Approval --
<br /> BLc Pmm roaawmeroD.,wm 4ema:Daanana,mmamaareamwm
<br /> %we maNlnl e.wPl a.norm.^u
<br /> All invoices are due and payable net 30 days.An annual percentage rate of 1896 will be prorated monthly on al
<br /> past due accounts.Costs for collection will be the responsibility of the customer. BLGp s nantRw.&ON __ +m--
<br /> 1N GENERATOR'S/SHIPPER'S INITIAL COP'
<br /> NON HAZ WAslt MA.,,_...
<br />
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