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t FORWARD SITE I TICKET GRID <br /> �►� INCORPORATED Oil 1 44177 <br /> S ustin ROIWWEIGHING LOCATION O BOX 6336 WEIGHMASTER <br /> � L. MARQUE <br /> 2c 95336 Stockton,CA 95206 <br /> ill (209)982-4298/ARCHING LOCATION Main Office (209)466-4482 DATE IN TIME IN <br /> rce Recovery (209)i982-4936 Fax (209) 465-0631 1 /G?9 13 <br /> 866500 DATE OUT TIME-OUT <br /> SEMCO 08/11 /99 1 :5 <br /> t <br /> MARK DREWRY VEHICLE ROLL OFF <br /> 1817 SOUTH 7th STREET RHT 99 <br /> MODESTO CA 95351 REFERENCE I ORIGIN <br /> 866500 j NELSON READY MIX <br /> Scale i Gross Weight 73860 LB Inbound -- Charge ticket <br /> Manual Tare Weight 33140 LB ry <br /> Net Weight 40720 L8 <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 26.36 TONS Class II Soil by Tan <br /> f <br /> WASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is <br /> s certificate who as a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> rofessions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture , <br /> NET AMOUNT <br /> MANIFEST ## 108708 <br /> 0.P <br /> tRUCK # 9C31389 <br /> TENDERED <br /> .O. # NONE PROVIDED <br /> TRAILER 0 YC5460 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209 )982-429B to schedule. <br /> Drive Safely ! l CHECK NO <br /> b <br /> recycled paper <br /> DRIVER'S SIGNATUREZVA: f <br /> r <br /> • <br />