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FORWARD ' "'SITE TICKET GRID <br /> INCORPORATED i)1 1092643 D-97 <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> Manteca,CA 95336 Stockton,CA 95206 f:: • HOWELL <br /> Landfill: (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE IN TIME IN <br /> Resource Recovery: (209) 982-4936 Fax: (209) 465-0631 07/20/98 16:52 <br /> 724911 DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 07/20/98 16:53 <br /> ACCOUNTS PAYABLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY DILL 87 <br /> STOC[,`TON CA 95205-E486 REFERENCE ORIGIN <br /> 724911 VARIOUS LOCATIONS <br /> Manual Gross Weight 39840 LB Inbound - Charge tick:et <br /> Manual Tare Weight 21160 LB <br /> Net Weight 18680 LB <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 9.34 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 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 /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> NET AMOUNT <br /> MANIFEST # 647801 <br /> TRUCK # 31-198428 <br /> P.0. # NONE TENDERED <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 �i� <br />