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FORWARD <br /> I GRID <br /> TICKET <br /> �� <br /> SITE 144076 D-98 <br /> INCORPORATEDU1 <br /> WEIGHMASTER <br /> 9 ° Austin Road/WEIGHING LOCATION~ ' Box 6336 L• MARQUEZ <br /> rt�95336 4 wdLoickton, CA 95206 <br /> dfi 09)982-4298/WEIGHING LOCATION Main Office (209) 466.4482 DATE IN TIME IN <br /> ource Recovery. (209)982-4936 Fax (209) 465-0631 03/11/99 09 3 53 <br /> 866500 DATE OUT TIME OUT <br /> SEMCO 08/11 /99 10:04 <br /> MARK DREWRY VEHICLE ROLL OFF <br /> 1217 SOUTH 7th STREET RHT 994 <br /> MODESTO CA 95351 REFERENCE I ORIGIN <br /> 866500 NELSON READY MIX < <br /> Scale 2 Gross Weight 66180 LH Inbound - Charge ticket <br /> Manual Tare Weight 32820 LB <br /> Net Weight 33360 LS <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 16.68 TONS Claw Il Sail by Ton � <br /> GHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured or counted by a welghmaster,whose signature Is <br /> iNs certificate,who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing wtth Section 12700)of Division 5 of the Califomla Business " <br /> I Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIFEST ## 76560 <br /> TRUCK # 9CS1389 <br /> P.O. # NONE PROVIDED TENDERED <br /> 1 TRAILER # YC5460 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (249)982-4298 to schedule. <br /> Dri ve Safe 1 y # t CHECK NO <br /> recycled paper <br /> LL <br /> DRIVER'S SIGNATURE <br /> r <br />