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1 <br /> FORWARD <br /> 2434 ,8 <br /> t�� -` -.,, <br /> 51TE .' s' * �'.: .Gf�ICQINCORPORATED <br /> �_.. «. <br /> 9999 South Austin Road/wEIG"ING LOCATION 1145 W.Charter Way .4 _ SCALE OPERATOR�U3! <br /> Manteca, CA 95336 Stockton, CA 95206 <br /> Landfill:(209) 982-4298/WTIGHwG LOCATION Main Office: (209) 466-4482 R,CE a ;TIME IN t <br /> Fax: (209) 466-1067 <br /> `.., 1111...1.::^( , 1. i,.)a;.l .DATEOI�T', - .. TImv orT-".. <br /> 1)(:)N 1.tiAEA...1::'7"' :a ;,•_ :� r� ; <br /> J�VIC <br /> ( .. � U .N <br /> ORIGIN <br /> ?r:•` i,�"c:9�',::, IeJ+':;i,�::)I' I:. ;'':1.,,`s::3c: , 00 :1.1: .i:I'tl::Ic:AA 11,;:I `_it f>t1...1::; 41,(:',l; 'I'.(. <br /> A. <br /> } . :9 "S,'::{ . 1 '� {•1;:9:£...eEt_ { :sy; % <br /> �f. ,9'.'�O..(10 I.L.. .�.C. f'!.6 J 'l <br /> .. C�7Y UNIT,r; EJ�SCRIPTIONC . z ;. . <br /> r� TpTAL,-orwqA. <br /> f:y�.�,��•i•i_f {'-.�1. .,i ,...1�,:]l..1.._'1'�1...Y <br /> :l.., 00 1...Sf 1;:.!°E6:�:1:!'i(.)('Ylj�l:::f #•)e,,ll... ("I:,I::: <br /> " ::1� 1l11: tr Ii :: ) , y . <br /> :NET•AMOLINT d <br /> ' ITENDEBED <br /> ,-�CFIANOE!T <br /> '.CfdECIf�N�; . <br /> DRIVER'S SIGNATURE <br /> 3 <br />