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3ti <br /> {In <br /> w 'L ..X11 `rfr Ji ? t9il��filrC'Y'� icLfj�!{ ��n� 1sn i ,i r rf <br /> r , > � <br /> r <br /> 4t� <br /> c <br /> 1 - i <br /> `J <br /> �41 FORWARD SITE TICKET GRID <br /> �+ INCORPORATED 0 151234 D-98 <br /> 99 South Austin'Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> 4anteca,CA 95336 — Stockton, CA 95206 V. PONCE <br /> fill (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> urce Recovery (209) 982-4936 Fax (209) 465-0633 10/12/99 17:32 <br /> 883400 DATE OUT TIME OUT <br />' ADVANCED GEO ENVIRONMENTAL 10/12/99 17:33 <br /> BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY BACKHOE T5 <br /> STOCf`,TON CA 95205-2486 REFERENCE I ORIGIN <br /> 883400 MELBARIDES PETROLEUM <br /> Sole 1 Gross Weight 71561:1 LB Inbound - Charge ticket <br />' Stored Tare Weight 33720 LF <br /> Net Weight 37840 LB <br /> QTY IUNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br />'• 18.92 TONS Class I I Soil by Ton <br /> };MASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmosfer whose signature is <br />�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 /> id Professions Code cdm�nistered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> MANIFEST # 091 737 NET AMOUNT <br /> TRUCF` # 9a93261 <br /> P.0. # NONE TENDERED <br /> TRAILER # 1wd9391 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209 )9B2-4298 to schedule . <br />' Drive Safely ' ' CHECK NO <br />' <br /> 4M recycled paper <br /> DRIVER'S SIGNATURE r <br /> 1 <br /> tl <br />