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FORWARD <br /> 4 30 <br /> SITE TICKET 1`GRID �. <br /> INCORPORA^TED �' .. �, � . <br /> 9999 South Austin Roafr/WEIGHING LOCATION 1145 W.Charter Way 'J E OPERATOR <br /> Manteca, CA 95336 Stockton,CA 95206 <br /> Landfill:(209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE'tN.- `' TJM_EJN,, <br /> Fax: (209)466-1067 <br /> q .., -DATE,OUT,,:',%1 -_ : ,TIME OUT.: <br /> VEHICLE - ROLL OFF <br /> REFERENCE"< ORIGIN ; <br /> QTY. UNIT, .•,' DESCRIPTION, w� a - .'_TOTAL' <br /> RATE". EXTENSION TAX, , , <br /> ry <br /> NET'AMOUNT <br /> TENDERED, <br /> CHANGE <br /> j 'CHEGK.NO.. <br /> DRIVER'S SIGNATURE ! I• �"``" <br /> j <br /> i <br /> L ' <br />