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(& —FoRwA `-,D— 5 w SITE r TICKET GRID <br /> RATED <br /> I N C O R P O i 144128 D-98 <br /> WEIGHMASTER <br /> i9fi ('�'209) <br /> h Austin Road/wE1GHING LOCATION P.O Box 6336 <br /> aStockton,CA 95206 PONCE <br /> n 9824298/WEIGHING LOCATION Main Office.(209)466-4482 DATE IN TIME IN <br /> source Recovery (209)982-4936 Fax (209) 465-0631 08/11 /99 11 :34 ' <br /> 866500 DATE OUT TIME OUT <br /> SEMCO 08/11 /99 11 :35 <br /> MARK DREWRY VEHICLE ROLL OFF <br /> 1217 SOUTH 7th STREETTAYL <br /> MODESTO CA 98351 REFERENCE I ORIGIN <br /> 866500 N LSON READY MIX <br /> Scale 2 Grass We:aht 78820 LB Inbound Charae ticket <br /> Stored Tare Weight 33300 LB <br /> Net Weight 45520 LB <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 22.76 TONS Class I I Sri 1 by Ta <br /> } <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured or counted by a weighmaster whose signature is ` <br /> i 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 t <br /> ,d Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NETT AMOUNT <br /> ANIFEST # 682942 f. <br /> RUCK # 9051070 <br /> P.O. # NONE PROVIDED TENDERED <br /> TRAILER # ivz5747 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209)982-•4298 to schedule. <br /> Drive Safe l y f ! CHECK No <br /> 02� recycled paper <br /> DRIVER'S SIGNATURE '::t4z <br /> z <br /> f <br /> f <br /> V,EZ%* <br /> g15 �1G <br />