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J <br /> J <br /> 1 <br />' <br /> Lie <br />-�...-.....�- <br /> FORWARD SITE TICKET;, GRID <br /> INCORPORATED c 1 240061 <br /> �t4�'tr WEIGHMASTER- <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 w F ���E <br /> Manteca,CA 95336 . z � <br /> Stockton CA 95206 <br /> �.��'?:�# ':,-r <br /> Landfill:(209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE IN TIME IN <br /> 16s(-)4 <br /> Resource Recovery:(209)982-4936 Fax: (209) 465-0631 12/01 /00 TIME OUT <br /> DATE OUT : <br /> 00c_�234 12 f0 f l tri 16:04 <br /> GROUND ZERO ANALYSIS VEHICLE ROLLOFF <br /> SEAN GAVE. I H RP_ <br /> 1714 REFERENCE ORIGIN <br /> ESWALGIN GA 95320 St©O)TOtGeNORTH AUTO <br /> Scale f t 72360 LP Inbound - Ghal~eze ticket <br /> Stored Tare Weight 31?00 LP <br /> Nc1,t We iah: 40460 LP <br /> =QTY. <br /> DESCRIPTION RATE EXTENSION TAX ` <br /> 2iti. 3 TO 12 C l::.S s 11 Soil L)y Ton <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmastFir,whose signature is <br /> on this certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> and Professions Code.administered by the Division of Measurement Standards of the California Department of Food and Agriculture. NET AMOUNT <br /> MAN I FEST ll# 700648 <br /> TRUCK # 9Ag8768 TENDERED <br /> P.O. # NONE PROVIDED <br /> Schedule 24 houv-S an advances directly with the landfill . <br /> CHANGE <br /> Sall (209)902-429a to %Chedu le. CHECK NO. <br /> Dr i Ve Safely ! I <br /> DRIVER'S SIGNATURE 't` <br />