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FORWARD LANDFILL <br />9999 S AUSTIN RD <br />MANTECA, CA 95336 <br />—9024 <br />STA CONTAINER <br />SALLY FANDRICH <br />1145 W. CHARTER WAY <br />42041418594 <br />'SITEY a <br />I TICKET # 1060411 <br />CELL <br />WEIGHMASTER <br />'TOTAL <br />DATEITIME OUT <br />01 -?6-201 5 10-24 <br />VEHICLE <br />CONTAINER <br />n(,r, <br />REFERENCE <br />BILL OF LADING <br />1978440 <br />SCALE IN GROSS WEIGHT 53,760 NET TONS(jL178_)1 <br />TARE OUT TARE WEIGHT 30,200 NET WEIGHT 23,560 <br />3TY. UNIT DESCRIPTION <br />RATE <br />EXTENSION <br />TAX <br />'TOTAL <br />20.00 YC TRACKING QTY <br />POOR <br />11.7TN SW -SLUDGE STOCKTON <br />L,ELIVERED <br />1.0( ENVIRONMENTAL FEE 1 <br />''I IOL.) <br />t-AiK <br />1.0( FUEL RECOVERY FEE <br />�ijoR <br />'--D TC) CrDE L 1, E:..- n3i' <br />The undersigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />.2UPR (07112) ?" I <br />T P, <br />SIGNATURE <br />TENDERED <br />CHANGE <br />CHECK# <br />H. 7 10 IN] <br />9 Q R. <br />N p I <br />r <br />I !T <br />POOR <br />L,ELIVERED <br />''I IOL.) <br />t-AiK <br />�ijoR <br />'--D TC) CrDE L 1, E:..- n3i' <br />r' 1-; 1, ni-xvinwin TI-) <br />P.), i <br />Pi)••. CL -:T'-)' IER <br />1; '.()1 REQ <br />[:(-)k %1;-f DX `.LAC; _ -\'t <br />t. <br />Lt fi! A J. <br />HF, f: _. fPFF ZEP <br />c PL E Irl f L. <br />