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FORWARD SITE TICK c}cE GRID <br /> 1 097705 D- <br /> 99 South Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> a—+ ca,CA§5336 Stockton, CA 95206 HOWELL <br /> I»:(209) 982-4298 WEIGHING LOCATION Main Office: (209)466-4482 DATE-INTIME IN <br /> �rce Recovery: (209) 982-4936 Fax:(209) 465-0631 08/21/98 09 r 46 <br /> 736721 DATE OUT - TiME OUT <br /> HORIZON ENVIRONMENTAL '9' 08/21 /98 V7= <br /> UO <br /> .. KEN MATE I K ' VEHICLE ROLL OFF <br /> 5011 GOLDEN FOOTHILL PKWY #7 '' DILL 1 1 <br /> EL DORADO HILLS CA 9576e REFERENC!IFF ORIGEN <br /> 7 672EMER DISCOVERY CHEV <br /> Scale 1 Gross Weight 62360 LB Inbound - Charge ticket <br /> Scale 1 Tare Weight 30640 LB <br /> Net Weight 31720 LB <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 15.86 TNS Class II Soil by Ton <br /> .... <br /> if!t � TE#1 IIS%S 13st the following described commodity was weighed,measured,or counted by a weighmoster,whose signature is NET AMOUNT <br /> s> is a recog f accuracy.as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Cofrfornia Business <br /> ro admster i n of Measurement Standards of the California Department of Food and Ag6culture. <br /> TENDERED <br /> TRAILER # IVW8437 <br /> Schedule e4 hours in advance directly with the landfill . CHANGE <br /> Call (e09)98e-4.298 to schedule. <br /> Drive Safely ! ! CHECK NO. <br /> V <br /> f • L. �A�recycled par- <br /> _s. DRIVER'S SIGNATURE �– <br /> it <br /> V <br /> �.r <br /> w <br />