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1 r <br /> + J <br /> y } + <br /> 1 I <br /> FORWARD <br /> INCORPORATED 5E 011 151233 <br /> "'- - <br />)99 South Austin Road/WEIGHING LOCATION FO Box 6336 V. PONCE WEfGHMASFER <br /> Iteca, CA 95336 - Stockton, CA 95206 <br /> fill (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> urce Recovery (209) 982-4936 Fax (209) 465-0631 10/12/99 17:28 <br /> 883400 DATE:OUT TIME OUT <br />' ADVANCED GEO ENVIRONMENTAL 10/12/99 17:29 <br /> BILL LITTLE VEHICLE i ROLL OFF <br /> 4005 N. WILSON WAY BACk'HOE T3 <br /> STOCKTON CA 95205-2486 REFERENCE ORIGIN <br /> 883400 MELBARIDES PETROLEUM <br /> Scale 1 Gress Weight 73680 LB Inbound -- Charge ticPet <br />' Stored Tare Weight 34600 LB <br /> Net Weight 39(DeO LB <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 19. 54 TONS Class II Soil by Ton <br /> HMASTER CERTIFICATE THIS 15 TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature is <br /> n this certificate who is a recognzed outhori'y of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Dmsicn 5 of the California Business <br /> Professions Code aaministered by the Division of Meosurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIFEST # 0913QB <br /> TRUCE, # 9c51()10 <br /> P.O. # NONE TENDERED <br /> TRAILER # 1v05747 <br /> Schedule 24 hClUrs in advance directly with the landfill . CHANGE <br /> Cali (209 )982-4298 to schedule. <br />' Drive Safely ' ' f CHECK NO <br /> recycled paper <br />' DRIVER'S SIGNATURE �0 <br /> r 'I ; <br />