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FORWARDTICKETSITE GRID <br /> INCORPORATED - <br /> ��1 (092c21 D-97 <br /> 3999 Sout4i Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> Aanteca,CA 95336 Stockton,CA 95206 K. HOWELL <br /> andflll: (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE IN TIME IN <br /> Resource Recovery: (209) 982-4936 Fax: (209) 465-0631 (-)7/2(--)/98 10:44 <br /> 724911 DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 07/20/98 11 : 10 <br /> ACCOUNTS PAYABLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY DILL 87 <br /> STOCf::'TON CA 915205-2486 REFERENCE ORIGIN <br /> 72 911 VA 'IOUS LOCATIONS <br /> Scale 1 Gross Weight 76260 LB Inbound - Charge tick:et <br /> Scale 1 Tare Weight 31340 LB <br /> Net Weight 44920 LB <br /> CITY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 22. 46 TONS Class II Soil by Ton <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is <br /> on',his 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. <br /> MANIFEST # 647799 NET AMOUNT <br /> TRUCK' # 3H98428 <br /> P.O. # NONE TENDERED <br /> TRAILER # 1UB2220 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209 )982-4298 to schedule. <br /> Drive Safely ! ! CHECK NO. <br /> / A recycled paper <br /> DRIVER'S SIGNATURE �,` l"`' �i01 <br />