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! <br /> rqs- �Si <br /> Z ry5 i{r ot� viz,.✓Jx ��-�' �ti 5 3�� \r t J,,ti t— r � .. <br /> < <br /> } <br /> FORWARD n SITE I TICKET GRID <br /> INCORF-ORATED 151181 D-98 <br /> WEiGHMASTER <br /> 99 South Austin Road/WEIGHING LocATION P O Box 6336 V. PONCE <br /> IfeCk CA 95336 Stockton,CA 95206 TIME IN <br /> 111 (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN <br /> source Recovery (209) 982-4936 Fax (209) 465-0631 10/12/99 14:03 <br /> 8$34�?�3 DATE OUT TIME OUT <br />' ADVANCED GEO ENVIRONMENTAL 13/12/99 14.L33 <br /> BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY REFERENCEORIGIN <br />' STOCKTON CA 95205-2486 <br /> S83400 MEL DAR I DES PETROLEUM <br /> Scale 1 Gross Weight 67120 LB Inbound - Charge ticFet <br />' Stared Tare Weight 34600 LS <br /> Net Weigh 32520 LB <br /> Y UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 1 <br /> 16.26 TUNS Class II Soil by Ton <br /> 1EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the ioEiowing described commodity was weighed measured or counted by a weighmaster whose signature is <br /> n this certificote who is a recognized outhcrity of accuracy as prescribed by Chapter 7(commencing with section 12700)of Division 5 of the California Business <br /> Profes5ions Code administered by the Division of Measurement Standards of the Colifcrn e Department of Food and Agriculture NET AMOUNT <br /> MANIFEST # 720225 <br /> TRUCK # 9C51 o70 TENDERED <br /> 1 <br /> P .0. 1# NONE <br /> TRA l LER # 1 V05747 <br /> Schedule 24 hours in advance directly with the landf� 1 . CHANGE <br />' Call (2179 )982-4298 to schedule. <br /> CHECK NO <br /> Drive Safely ' ' <br />' <br /> recycled paper <br /> DRIVER'S SIGNATURE <br /> _ <br /> r <br /> R ..5. 5111)` , _ — <br />