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FORWAkD �KE GRID <br /> SITE TICKET <br /> INCORPORATED <br /> 011 1q4jR1 D-92 <br /> 99 Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> ante*CA 95336 Stockton,CA 95206 W—PONCE <br /> ndfill: (209) 982-4298/WEIGHING LOCATION Main Office: (209)466-4482 DATE IN TIME IN <br /> source Recovery: (209) 982-4936 Fax:(209)465-0631 <br /> 08/11 /99 14•06 <br /> 866000 DATE OUT TIME OUT <br /> E N 5 R CONSULTING 9: ENG. 08/11 /99 14:07 <br /> ALLEN BENNETT VEHICLE: ROLL OFF <br /> 1221 s AVEN I DA ACASO <br /> fTEF <br /> CAMARILLO CA 93012 ERENCE ORIGIN <br /> 866000 G ARDINO CONSTRUCTION <br /> Scale 2 Gross Weiaht 77900 LB Inbound - Charae ticket <br /> Stored Tare Weight. 34280 LB <br /> et Weiaht 43620 LB <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> . 21 .81 T NS Class II Soil by Ton <br /> i <br /> i <br /> E <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is r <br /> this certificate,who is o recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 1270D)of Division 5 of the Cafifornia Business <br /> ,d Professions Code,administered by the Division of Measurement Standards of the Colifomia Department of rood and Agriculture. <br /> NET AMOUNT <br /> N.,rNIFEST # 108848 <br /> TRUCK # 9B43652 <br /> P.O. # NONE PROVIDED TENDERED <br /> TRAILER # GT75919 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> I <br /> Call (209 )982-4298 to schedule. <br /> CHECK NO. <br /> Drive Safely ! ! 00 <br /> A recycled paper <br /> DRIVER'S SIGNATUR ' �ile� <br />