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ye <br /> k• tp <br /> 0�;`RKW,' A+1D <br /> c0RP O,R A:TED <br /> )N T.O. Box 6336' "r^ r'. r`u,31 I HMAST 1 1 4 xra:, <br /> Stockton,CA 95206 MARIA S <br /> ION Main Offices(209)466-4482 TI E IN <br /> I' <br /> Fax:(209) 465-0631 <br /> 7October a(002 11 : 16 am <br /> 3 . 45 <br /> 7 Uc tobel- a- 1 1 29 am �I <br /> f;.V <br /> 1 1 MIC ::"�,+• .,?a}f... ':ROLLOFF I <br /> 9 5 i THORPE- 7 <br /> 3 6 . 44 + '' ".R FERENCE- <br /> 27 - 4 3 , ST0C(,,.T0N <br /> 24 • 9 1 a2,.74C.00 LD I17bound SCALE: TICKET <br /> 1 2 . 08 1 35,840.00 LD <br /> 1 0 • 57 : 16.900.00 L..O u.w.s -rN CC/ <br /> 1 0 • 77 + - DESCRIPTION �.s; x,,,;. .RATE EXTENSION TAX <br /> 1 II 2 - 6 * TREATED WOOD <br /> 142 . 6x <br /> 30 • = <br /> 278 x <br /> the following described commodity was weighed,measured,or counted by a weighmoster,whose signature is <br /> accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> of Measurement Standards of the California Department of Food and Agriculture. <br /> i <br /> NET AMOUNT <br /> :TENDERED .. <br /> IMFo3JIt✓Ea"f ##150920 <br /> r� <br /> CHANGE::..;:,,, <br /> t <br /> CHECK NO,, < <br /> DRIVER'S SIGNATURE ; <br /> ---- -- _ 1 7t_ ----- ---- -- - - l <br /> 7 Tf I)C7 <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> EMARKS U SOIL <br /> U CONSTRUCTION <br /> FACILITY TICKEI NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE Of AP,THORIZED AGENT DATE <br /> U WOOD <br /> 1* ASH <br /> /1"1 �7/� <br /> ECTAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> MANIFEST tf150920 <br /> GI?tiERATOR COPY <br />