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l!`�MOR <br /> SITE TICKET GRID <br /> ,N'C `�R T E 6 0 144063 D-QS <br /> J F Austin R9 ' <br /> aCVWEIGHING L r TION P O Box 6336 — WEIGHMASTER <br /> tel►95336/ Stockton, CA 95206 K. SPARKS <br /> I{III (209) 982.4298/WEIGHING LOCATION Main Office (209)466-4482 DATE IN TIME IN <br /> iurce Recov'e'ry (209)982-4936 Fax (209)465-0631 Dg/1 1 /qq 09 s 16 <br /> 866500 DATE OUT TIME OUT <br /> SEMCO - 08/11%99 _09: 17 <br /> MARC DREWRY VEHICLE ROLL OFF <br /> 1217 SOUTH 7th STREET <br /> MODESTO CA 95351 REFERENCE I ORIGIN <br /> 866500 NELSON READY MIX <br /> r <br /> Scale I Grass Weight 76240 Lei Inbound - Charge ticket f �� <br /> Manual Tare Weight 34407 LB 1 <br /> Net Wei 6ht , , -+41844 i?LB <br /> QTY UNIT I DESCRIPTION TE EXTENSION TAX TOTAL <br /> 20.1912 TONS Class I I Sail by Ton <br /> +n <br /> f <br /> r` <br /> r <br /> 3HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmoster whose signature is <br /> nis certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Coldomla Business <br /> Professions Code administered by the Division of Measurement Standards of the Califomia Department of Food and Agriculture ti <br /> NET AMOUNT ; <br /> • MANIFEST ## 76558 t <br /> `TRUCK # 9C51070 , <br /> P.O. # NONE PROVIDED TENDERED 1i <br /> TRAILER # I VZ5747 <br /> Schedule 24 hours in advance directly with the landfill . ,CHANCE <br /> Call (209)982-4298 to schedule. <br /> Drive Safely ' ' CHECK NO <br /> r <br /> recycled paper <br /> DRIVER'S SIGNATURE to i <br /> ; i Y <br />