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CY �lIATEIr 1r4L REC ERY AND SITE TICKET GRID WEIGHMASTER <br /> r, SOLID WASTE TRANSFLn, INC. 01 .0032x130 DAN <br /> 30703 South MacArthur Drive DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF <br /> Tracy,California 95377 <br /> Telephone(209)832-2355 FAX(209)832-3062 11/23/10 11/23/10 0153 <br /> 000496 .DON A COSE <br /> P 0 BOX 326 <br /> -TRACY CA 95378 TRACY <br /> Manual Gross Wt- 59900 LB Tnbound - Charge ticket <br /> Manual Tare Wt. 40140 LB <br /> CITY. UNIT DeBCR1pT10N` RATE EXTENSION FEE TOTAL <br /> 9.88 TON SELF HAUL - MIXED 59.250 585.39 0.00 585.39 <br /> F <br /> REC EIVE <br /> c� So hl <br /> NOV2 4 2010 <br /> ENVIRON ENTAL HEAL rH <br /> PERMI /SERVICES <br /> TRACY MATERIAL RECOVERY OPERATING HOURS: <br /> Mon - Fri 8:00am - 4:00pm Sat 8:00am - 3:30pm TENDERED <br /> FOR YOUR SAFETY, PLEASE REMAIN WITH YOUR VEHICLE. <br /> A $25-00 SERVICE FEE IS APPLIED TO RETURNED BUSINESS CRtCXS. CHANGE <br /> CO. NAME DOA] COSE/ DALE F CHECK NO_ <br /> CO. ADDR HWY 33 PROTECT <br /> jEngm 3jS1/04) RECYCLED MATERIAL SIGNATURE — —•••—• <br /> TRACY MATERIAL RECOVERY AND SITE TICKET GRID WEIGHMASTER <br /> SOLID WASTE TRANSFER, INC. <br /> 30703 South MacArthur Drive o1 00321182 DAN <br /> Tracy,California 95377 DATE IN DATE OUT TIME IN 'AIME OUT VEHICLE ROLL OFF <br /> Telephone(209)832-2355 - FAX (209)832.3062 11/23/10 11/23/10 12:55 13:05 <br /> 000496 DON A COSE •• <br /> P O BOX 326 <br /> TRACY CA 95378 TRACY <br /> Manual Grass Wt, 63000 LB Inbound - Charge ticket <br /> Manual Tare Wt, 40080 LB <br /> OTY: <br /> UNIT UESCAIh110N RATE F . EXTENSION FEE TOTAL <br /> 11.46 TON SELF HAUL - MIXED 59.250 679.01 0.00 579.01 <br /> i <br /> 33 <br /> i <br /> TRACY MATERIAL RECOVERY OPERATING HOURS: <br /> Mon - Fri B:OOam - 4:00pm Sat B:OOam - 3:30pm TENDERED <br /> FOR YOUR SAFETY, PLEASE REMAIN WITH YOUR VEHICLE, <br /> A $25.00 SERVICE FEE IS APPLIED TO RETURNED BUSINESS CHECXS. <br /> CHANGE ' <br /> - <br /> CHECKNO. <br /> CO. ADDR HWY 33 PROJECT <br />