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I <br /> FORWARD <br /> SITE TICKET GRiD <br /> INCORPaRATED <br /> 9 <br /> WEIC7HMASTER <br /> Austin Road/ r EfcH G LOCATION P O Box 6336 4 <br /> 95336 Stockton,CA 95206 <br /> 1e20e9)982-4298/WEI NG LOCATION - Main Office (209)466-4482 DATE IN TIME IN <br /> µ <br /> covery (209) 982-7936 Fax (209) 465-0631 - <br /> 866500 DATE OUT TIME OUT VIM <br /> SEMCO <br /> MARK DREWRY VEHICLE ROLL OFF <br /> 1217 SOUTH 7th STREET <br /> MODESTO CA 95351 REFERENCE ORIGIN <br /> 86650 VARIOUS LOCATIONS <br /> Manual Gross Weight 79240 LB Inbound - Charge ticket <br /> Manual Tare Weight 34960 LD <br /> Net Weight 44280 t_6 _ <br /> E <br /> QTY UNITDESCRIPTION RATE EXTENSION TAX TOTAL <br /> y r:1ss ci 1 y on <br /> 3HMASTER CERTIFICATE THIS IS TO CERTIFY That the fallowing described commodity was weighed measured or counted by a weighmoster whose signature Is <br /> his certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12100)of Division 5 of the California Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIFEST # 7655 + <br /> TRUCK # 9A43973 <br /> P.O. NONE PROVIDED TENDERED <br /> TRAILER # 1UY6469 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Cali (249)982-4296 to schedule. <br /> Dr 1 ve Safe l y 14 CHECK NO <br /> recycled paper <br /> DRIVER'S SIGNATURE <br /> 4 � <br />