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r <br /> FORWARD 243213 <br /> SITE TICKET <br /> , GRID <br /> ►� INGORY DRATED <br /> 9999 South Austin Road/WEIGHING LOCATION 1145 W. Charter Way SCALE,OPERATOR`'- <br /> Manteca, CA 95336 Stockton,CA 95206 <br /> 1 982-4298 WEIGHING LOCATION Main Office: (209) 4664482 ::; DATE IN TIME IN s . <br /> Landfill:(209) <br /> Fax: (209) 466-1067JJ <br /> -, DATE OUT' TIME OUT <br /> "VEHICLE <br /> ,^ j... <br /> ROLL,OFF; <br /> REFERENCEr ; r <br /> ORIGIN,, <br /> p <br /> QTY. UNIT DESCRIPTION :is «;'° ::RATE EXTENSION TAX '-,TOTAL ` <br /> -.NET AMOUNT.. <br /> TENDERED. <br /> CHANGE'.> <br /> !CHECK NO; <br /> DRIVER'S SIGNATURE <br />