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i <br /> FORwARD SITE TICKET GRID <br /> 4+ INCORPORATED 4: 1 100546 D-97 <br /> 1M South Austin Road/WEIGHING LCC4TION P.O. Box 6336 WEIGHMASTERGRANT <br /> Aanteca, CA 95336 Stockton,CA 95206 <br /> fill: (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE IN TIME IN <br /> t urce Recovery: (209) 982-4936 Fax:(209) 465-0631 09/14/98 10): <br /> 744911 DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 09/14/96 -I: f-) <br />' <br /> BILL LITTLE VEHICLE ROIL OFF <br /> 4oO5 N. WILSON WAY LUTREL L41 <br /> STOCK'TON CA 9521:5-2486 REFERENCE ORIGIN <br /> 7414911 0 YMPIAN OIL <br /> Scale 1 Gress Weight 82240 LS Inbound — Charge ticket <br /> Scale 1 Tare Weight 312220 LES <br /> Net Weight 50020 LD <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 25. 01 TONS Class II Soil by Ton <br /> 1 <br /> 1 <br /> f"gR fFR&SJ7E #HIS IS&6��r�hot the following described commodty wcs weighed,mecsured,or counted by o weighmcster,whose signature is NET AMOUNT <br /> ;, w rs o recog,' ., c f occuracy.es prescribed by Chopter 7(commencing with Section 12100)of Division 5 of the Colifornio Business <br /> o'E"5bf od odrninisfere�d by jvsil'n of Measurement Stondords of the Co0cmia Deportment of Food and Agricutfure. <br /> TENDERED <br /> TRAILER 4 1UT2215 <br /> ' Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209 )952-4298 to schedule. <br /> Drive Safely ! f CHECK NO. <br /> A <br /> recycled paper <br /> DRIVER'S SIGNATURE �� <br />