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t <br /> FORWARD SETE TkCK t GRID <br /> INCORPORATED 011 14416e <br /> S u5tin <br /> Road/WELCHING LOCATION P O Box 6336 t6HMA ER <br /> e 95336 Stockton,CA 95206 L. MARQUE?' <br /> fill 09) 952-4298/WEIGHING LOCATION Main Office (209)466-4482 DATE IN TIME IN <br /> arce Recovery.(209) 982-4936 Fax (209) 465-0631 OB/11 /9 <br /> 866500 DATE OUT TIME OUT <br /> SEMC01 ,b 08/11/99 13115 <br /> MARK DREWRY VEHICLE ROIL OFF <br /> 1,217 SOUTH 7th STREET RHT 920 <br /> HOQESTO CA 95351 REFERENCE I ORIGIN <br /> 866500 NELSON READY --MIX <br /> Scale 1 Gross Weight 79640 LB Inbound -- Charge ticket <br /> Maqutal Tare Weight 32300 LB <br /> Net Weight 473401 L5 <br /> i <br /> QTY UNIT DESCRIPTION i RATE EXTENSION TAX TOTAL <br /> 23,6?- TOMS Class 11 Soil by Torr <br /> HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmoster 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 California Business <br /> Jrofessions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> MAN I FEsr 10.8706 � � NET AMOUNT <br /> .TRUCK ## `,9C1644�+ � ~Y s <br /> P.O. # NONE PROVIDED TENDERED <br /> TRAILER # IVJ5379 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209)982-429e to schedule. <br /> Drive Safe l y I ! CHECK NO <br /> recycled paper I <br /> DRIVER'S SIGNATURE <br /> f <br /> 0 <br />