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1 4 1 l <br /> r ti ,3 t <br /> s <br /> FORWARDSITE TICKET GRID INCORPORATED 0 151088 D-98 <br /> 999 South Austin Road/WEIGHING LOCATION P 0 Box 6336 WEIGHMASTER <br /> teca, CA 95336 Stockton, CA 95206 V. PONCE <br /> dfill (209) 982-4298/WEIGHING LOCATION Main Office (209)466 4482 DATE fN TIME IN <br /> urce Recovery (209) 982-4936 Fax (209) 465-0631 10/12/99 0G•55 <br /> 883400 DATE OUT TIME OUT <br />' ADVANCED GEO ENVIRONMENTAL 10/12/99 08:55 <br /> BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY <br /> STOCKTON CA 95205-2486 REFERENCE I ORIGIN <br /> 883400 MELBARIDES PETROLEUM <br /> Scale 1 Gross Weight 646007 LB Inbound -- Charge ticket <br /> Stored Tare Weight 30400 LB <br /> Net Weight 34200 LB <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> I. 17. 1 TONS Class II Soil by Tian <br /> r <br /> HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or Counted by o welghmoster whose signature Is <br /> this certificate who Is a recognized authority of accuracy as p escrbed by Choprer 7 (commencing with Section 12700)of Division 5 of the California Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> MANIFEST #720216 NET AMOUNT <br /> TRUCE, # 9BO76B2 <br /> P.O. # NONE TENDERED <br /> TRAILER # 1UE4540 <br /> Schedule 24 h0Li in advance directly with e 1 dfill . CHANGE <br /> Call (209 )982-4298 to schedule . <br /> Drive Safel y I I CHECK NO <br /> I <br /> � <br /> DRIVERS SIGNATURE ��recycled paper <br /> U <br /> I <br /> I <br />