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} R Q n <br /> FORW �R SITE I TICKET } - GRID <br /> INCO RP'O R A T E D Oil 144139 D_98 <br /> WE;IGHMASTE:R <br /> �9 uth Austin Road/WEIGHING LOCATION P O Box 6336 L. MARQUES ,+ <br /> M ,CAj95 A6 Stockton,CA 95206 <br /> L (209) 9$2-4298�WEIGHING LOCATION Main Office (209) 466-44$2 -68-711799 <br /> DATE IN TIME IN ~ <br /> e Recovery 09) 982-4936 ``� Fax (209)465-0631 O$/ 1 /99 11 :45 <br /> 86b5� DATE OUT TIME OUT <br /> SEMCO 08/11/99 12;00 <br /> MARK DREWRY VEHICLE ROLL OFF <br /> 1817 SOUTH 7th STREET RHT 950 <br /> MODESTO CA 95351 REFERENCE ORIGIN <br /> 866500 NELSDN READY MIX <br /> Scale 1 Gross Weight 80220 LH Inbound - Charge ticket <br /> Manual Tare Weight 34$80 LB <br /> Net Weight 45340 LH <br /> OTY UNIT DESCRIPTION RATE: EXTENSION TAX TOTAL <br /> aE.67 TONS Class Il Soil by- Ton <br /> r ' <br /> C1 - <br /> WEIraHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured or counted by a weighmoster whose signature Is <br /> on this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> and Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIFEST # 108701 <br /> TRUCK # 9A43972 <br /> P.D. ## NONE PROVIDED TENDERED <br /> TRAILER # 1UY6469 <br /> Schedule E4 hours in advance directly with the landfill , CHANGE <br /> Call (209 )98e-4298 to schedule. <br /> Drive Sa fel y f ! CHECK NO <br /> recycled paper <br /> DRIVER'S SIGNATU <br /> ^� <br /> , r <br />