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' SITE TICKET GRID <br /> (# FORWARD <br /> INCORPORATED 01 1097704 1 D-97 <br /> a-+ <br /> �South Austin Road/WEIGHING LOCATION P.O. Box 5336 K . HOWELL WEIGHMASTER <br /> teca,CA 95336 Stockton, CA 95206 <br /> :(209)982-4n8/WEIGHING LOCATION Main Office: (209) 466-44482 DATE IN TIME IN <br /> ,i,:e Recovery:(209)962-4936 Fax: (209) 465-0633 08/21/98 09:45 <br /> 736721 DATE OUT TIME OUT ' <br /> HORIZON ENVIRONMENTAL 08/21 /98 10 <br /> CEfY MATEIK VEHICLE ROLL OFF <br /> —3011 GOLDEN FOOTHILL PKWY - #7" DILL 291 <br /> EL DORADO HILLS CA 95762 REFERENCE ORIGIN <br /> 736721 FIRMER DISCOVERY CHEV <br /> Scale 1 Gross Weight 70500 LB Inbound - Charge ticket <br /> Scale 1 Tare Weight 30420 LB <br /> Net Weight 40080 LB <br /> QTY. UNIT DESCRIPTK)N RATE EXTENSION TAX TOTAL <br /> 20.04 TONS Class II Soil by Ton <br /> 7�*Hll���e following described pommpdify was weighed,mepsured,or counted by a weighmpsterwhose signature is NET AMOUNT <br /> pccuraCy.os prescribed by Chppter 7(commencing with Section i27pq)of Division 5 of the Cpiitomia Businessf Measurement Sfandards of the Califomra Department of Food and Agriculture. <br /> TENDERED <br /> TRAILER ## VD5797 <br /> I <br /> chedule 24 hours in advance directly with the landfill. CHANGE <br /> "Call (209)982-4299 to schedule. <br /> Drive Safely ! ! ' CHECK NO. <br /> r <br /> ��J*recycled page <br /> - DRIVER'S SIGNATURE <br /> �rr <br />