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INCORPORATED SITE TICKET GRID <br /> 036642 <br /> 9999 Sou(h Austin RoaWWUGntNG LOCATzo P.O. Boz 6136 <br /> Manteca.CA 95336 Stockton, CA 95206 WEIGHMASTER <br /> Landfill:(209)982.4298/WUGHINC LOCATION Main Office:(209)466-4482 ! �.;T i,•1.T l�I <br /> Resource Recovery;(209) 982.4936 fax:(209)465.0631 <br /> 55821t DATE IN TMIE IN <br /> ALEC�R . , . _. -6 z 45 <br /> ROBERT FOWLE:R <br /> 510o WELT U.S. HW), LP. • <br /> u I <br /> LOA I CA 95242 i. 1 , " . r"ti. :^7 <br /> VEHICLE ROLL OFF <br /> REFERENCE ORIGIN <br /> ALEGR AP-14 55ETo:1 : i'rl-FGRE TPLIC::i:I NG cd. 1:(•!C. <br /> Scale Groi;s We i(711'f'. 5;P'1RQ L%3 Ii ibi:tt•flirf <br /> u <br /> Scale c Tare Id i.nitt 99''300 L.E< <br /> �;,r'7 r� <br /> Net (.►e i ql'1 t -�r_ r•4! [_.r-j <br /> QTY DESCRIPTIONAMOUNT <br /> a6.39 el-ast3 II Sr�,3. 1 to,, Tor) pt TONS <br /> u w9GNWAM CEtmacATE TEAS IS To CERTIFY That hive rolowing dsscfted commodity was weighed,memred.or counted by a weignmWer,whose <br /> Sipnattre b on ft+ts cer ftme,who h a reccgnlzW authority of occuracy.as Prescribed by Chapter 7(cortxnenchg with Secrbn 12700)or Drvkrbn S of <br /> the CaYlomla and Processions Code,adnfttered by the Division of Meosxement Standards of the Caifornia Deparlmeni of Food and AgricumAe. <br /> rl-AN I FES•r 64309 • <br /> TRUCK A 5C22335 <br /> P.O, #i NONE <br /> TRAILER # 1UC4241 <br /> Schedule a4 hot-tra .irk i;J•:::irr.-tr ciI I iar,: (.l y wi i-h the 1owr Jf•il l , <br /> Call (809)982-429e t!L-, cw-hedi.i 3 e.. <br /> Drive Safely ti t <br /> DRIVER'S SIGNATURE X 17 <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other Eo <br /> ,., conditions impair the safe and effective disposal of the waste or if the waste I$PO$ M ap <br /> r.. j <br /> impairs the sale and effective operation of the Landfill. Forward shalt use ;7, `+ t '.r IgppsE; B10 AERATE <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason, If Forward's refusal to accept the waste is based on { SOIL <br /> weather or other Site conditions.Forward shall notify the Disposer when site 4A+ <br /> ,_, • conditions are expected to change such that Forward will be able to accept ❑ SLUDGE <br /> the waste- ;�r <br /> • -T- :.�: y�', r - NON-FRIABLE <br /> • ❑ ASBESTOS <br /> 0Ctc€TNuniI1FF} <br /> WOOD <br /> .F�tiCl'f !Zt=(7 AGENfi=;' C3Atfr ASH <br /> t <br /> C( ❑ OTHER <br /> SUB E CT TO MUST L ON ARRIVAL.ONGOING DAIPRIOR TO 4.00 P.M. LY DELIVERIES E DAY PRIORM ST BE SEArECHEDULED MnTH THE LANDF1RIVAL ANY ®THE DAY BEFC <br /> ULED LOADS I <br /> SUBJECT TO REFUSAL U <br /> TD SCHEDULE CAU.(209)982-4298 MANIFEST* 6A809 <br /> v <br />