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{,�,�1 gY r <br /> FORWA%�, <br /> �D �� SITE TICKET GRID <br /> J-ZtC,O R P ORA E D �j • f 44 49 D-98 <br /> 992MOuth Austin Road/WEIGHING LOCATION P O Box 6336 <br /> WEIGHMASTER <br /> CA 95336%,,—_ i Stockton, CA 95206 K. SPARKS <br /> La (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> Resource Recovery (209) 982-4936 /Fax (209)465-0631 08/11 /99 08140 <br /> 866500 DATE OUT TIME OUT <br /> SEMCO 08/11 /99 08x41 <br /> MARl%�DREWRY VEHICLE ROLL OFF <br /> 1217 SOUTH 7th STREET <br /> MODESTO GA 95351 REFERENCE I ORIGIN <br /> 866500 1 NELSON READY MTX <br /> Marnu,al Gross Weight 78120 LS Inbound Charge ticket ti <br /> Manual Tare Weight. 134440 LS <br /> Net Weigt t 43680 L6 <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL - <br /> 21 .84 TONS Class II Soo 1 bx Ton <br /> a <br /> s <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmoster whose signature Is <br /> on this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of DiVislon 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 # 49700 <br /> • TRUCK # 9C31070 <br /> P.O. # NEWE PROVIDED TENDERED <br /> Schedule 24 hours in advance directly with- the landfill . CHANGE <br /> r� Calll (209)982-4298 to schedule. <br /> Drive Safely 1 I CHECK NO <br /> Ow recycled paper <br /> DRIVER'S SIGNATURE <br /> r <br />