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FORWARD SITE TICKET GRID <br /> V� INCORPORATED 04 070054 D-99 <br /> r99uth Austin Road/wEICHING LOCATION P O Box 6336 WEIGHMASTER <br /> a,CA 95336 Stockton, CA 95206 S• MAC I EL <br /> rl1 (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME 1N <br /> ice Recovery (209) 982-4936 Fax (209) 465-0637 03/28/00 13:42 <br /> 926400 DATE OUT TIME:OUT <br /> ADVANCED GE© ENVIRONMENTAL 03/28/00 13:42 <br /> HILL LITTLE el VEHICLE - ROLL OFF <br />' 4005 N. WILSON WAY <br /> STOCKTON CA 95205--2486 REFERENCE 01I <br /> 926400 VARIOUS LOCATIONS <br /> Manual Gross Weight 71920 LB IC1{]ot.nd - Charge ticket <br /> Manual Tare Weight 29420 LB <br /> Net Weight 42500 LH <br /> QTY UNIT- + n DESCRIPTION 'RATE EXTENSION a TAX TOTAL <br /> 21 .2 TINS Class II Soil by Ton <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the foGowing described commodity was weighed measured or counted by a weighmaster whose signature is <br /> th;s certificate who is a recognized authorrty of accuracy as prescnbed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> d Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> Manifest # 25482 NET AMOUNT <br /> Truck # 1908 <br /> 6 P.O. # NONE PROVIDED TENDERED <br /> Trailer # 3.22.00 <br /> Schedule 24 hours 2n advance directly with the landfill . CHANGE <br /> Call (209)982-4298 to schedule. <br /> Drive Safe 1 y I I CHECK NO <br /> recycled pipe <br /> DRIVER'S SIGNATURE `fie <br /> I <br /> I <br />