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@ AUT MAI I-rIIAL r5L'Li3 D r_HY AIMU r$rml TICKET GRID WEIGHMASTER <br /> SOLID WASTE TRANSFI INC. <br /> 01 00321082 DAN <br /> t^ 307W South MacArthur Drove <br /> Tracy,California 95377 "INTE.OUT TIMEIN TIMEOUT VEHICI.5 ROLL OFF <br /> Telephone(209)832-2355 FAX(209)832-3062 9:02 9:11 w <br /> 000496 DON A COSE •- <br /> 'P 0 BOX 326 <br /> TRACY CA 95378 TRACY <br /> Manual Gross Wt. 58560 LB inbound - Charge ticket <br /> Manual Tare Wt. 40.180 LB <br /> QTY. UNI DESCRIPTION RATE: EXTENSION. FEE TOTAL <br /> 9.19 TON SELF HAUL - MIXED 59.250 544.51 0.00 544.51 <br /> REE <br /> IVED <br /> NOV 4 2010 <br /> ENVIRONMENTAL HEATH <br /> PERMIT/ ERVIC <br /> TRACY MATERIAL RECOVERY OPERATING HOURS: ' , <br /> Mon - Fri 8:00am - 4:00pm Sat 8:00am - 3:30pm 544.51 <br /> FOR YOUR SAFETY, PLEASE REMAIN WITH YOUR VEHICLE_ TENDERED <br /> A $25.00 SERVICE FEE IS APPLIED TO RETURNED BUSINESS CHECKS. <br /> CHANGE . <br /> CO. NAME DON COSE / DALE <br /> CHECK NO. <br /> CO. ADDR H'WY 33 PROJECT <br /> fj�/04) RECYCLED MATERIAL SIGNATURE _,.. <br />