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TRACY -DELTA SOLID WASTE MGMT, INC. <br />�6 Tracy Disposal Delta Disposal i West Valley Disposal <br />�v P.O. Box 274 <br />Tracy, California 95378 <br />Phone(209)835-0601 <br />Customer # Date t4 1 1 <br />Name S H_1� rV1 M Z.0 V' <br />Addresses <br />Driver C C PO# <br />Description Size Contents <br />Roll -Off Box ZCJ V D _ WA S 4 ( <br />Compactor Receiver <br />Overwelght <br />Misc. <br />Gross Wt <br />Tare Wt <br />Tons @ $ <br />/ Ton <br />INVOICE # 172861 Rec'd E� �j l`� Ate/ �1 <br />Amount <br />Total Due $ <br />