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�a <br /> FORWARD SITE 'nCKET GRID <br /> INCORPORATED 011 191177 D-99 <br /> 99 uth Austin Road/WEIGHING LOCATION P O Box 6336 K. SPARKS WEIGHMASTER <br /> r CA 95336 Stockton, CA 95206 <br /> an (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 = DATE IN TIME IN <br /> tsource Recovery (209) 982-4936 Fax (209) 465-0631 05/25/00 10:40 <br /> 952000 DATE OUT r TIME OUT <br /> ADVANCED GED ENVIRONMENTAL 05/25/00 10:41 <br /> I BILL LITTLE r _ VEHICLE r-� -�� � POLL OFF <br /> 4005 N WILSON WAY KBOB KB4 <br /> STOCKTON CA 95205 f)' PEFERENGIF=--� F-. ORIGIN <br /> 952000 ZEB KHAN <br /> Scale I Gross Weight_ 71780 LH Inbound - Charges ticket <br /> Stared Tare Weight 30GOO LB <br /> Net Weight 44980 LB <br /> OTY UNIT y "'. DESCRIPTION,"--` + tRs a 'r St 4 RATE EXTENSEDN TAX TOTAL <br /> 20.49 TONS Cover Class II Ton <br /> IGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> 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 /> d Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agnculture <br /> NET AMOUNT <br /> MANIFEST # 721112 <br /> . TRUCK # TEMP <br /> TENDERED <br /> Schedule 24 hours in advance directly with the landfill . CHANOE <br /> Call (2209)982-4298 to schedule. <br /> Dr 2 ve Safely ' ' CHECK NO <br /> DRIVER'S SIGNATURE <br /> I <br /> • <br />