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FORN <br /> 51FE TICKET GRID <br /> 1-NCO RPO R A TA-RD r <br /> '` E) `: r� 144061 D-48 <br /> WEIGHMASTER <br /> 9 Austin ROad/WEIGHING LOCATION P O Box 6336 <br /> rt 95336 Stockton,CA 95206 K. SPAPKS <br /> JIM 09)982-4298/WEIGHING LOCATION Main Office.(209) 466-4482 DATE IN TIME IN <br /> ,urce Recovery (209) 982-4936 Fax (249) 465-0631 08/11 /99 09%(12 <br /> 866500 DATE OUT TIME OUT <br /> SEMCO 08/11 /99 09203 i <br /> MARK DREWRY VEHICLE ROLL OFF <br /> 1217 SOUTH 7th STREET <br /> MODESTO CA 95351 REFERENCE ORIGIN <br /> 866500 NELSON READY MIX9� <br /> Scale 1 Grass Weight 74080 LB Inbound - Charge ticket <br /> Manual Tare Weight 33300 LB � <br /> Net Wei ht 40780 LB <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> '20.31 TONS Class 11 Soil by�Ton <br /> t <br /> ;KMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature Is <br /> )is certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Calitomla Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> iMANIFEST # 76557 <br /> TRUCK # 9A93261 <br /> P.0. # NONE PROVIDED TENDERED <br /> Schedule 24 hours in advance directly with the landfill. . CHANGE <br /> Call (249)982-4298 to schedule. <br /> DT=i ve Safe l y l l <br /> CHECK NO <br /> 4F* recycled paper { <br /> DRIVER'S SIGNATURE UP I <br /> 4 <br /> • s J ` <br />