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FORWARD <br /> INCORPORATED s17E TICKET GRID <br /> a , , -7 ct <br /> X99uttt Austin Rt)al1/tNEIGHING LOCATION P.O. Box 5336 x" i w WEIGHMASTER <br /> an 95336 Stockton,CA 95206 r r <br /> in 109) 982.4298/WEIGHING LOCATION Main Office. (209)466-4482 a DATE INTIME INk <br /> source Recovery.(209)982-4936 Fax (209) 465-0631 far ,yam r <br /> e54e71 1 DATE OUT TIME-OUT ^ <br /> STOCKTON PETPOLEUM C0 -AN'r t Pr P 1W7 <br /> JAI" McLLKATH vl~HICf-E,°4,ry cyrx r ,tea ROU OFF- <br /> 1905 <br /> FF'190 5 NAVY DR I VE r <br /> STOCKTOAI Of 1 95226 RE 1: EORIGIN <br /> E 4'4m?t 1 f;T0—CkTnI%j PETROLEUM CO <br /> Scale 1 Gross Weight 77000 LF Inbound - Char oe t ICIret <br /> Scale 2 Tara Weight 2x760 LB <br /> r a n QTY x4X - ' UN 4, quids #, OESCRIP TION a"rrf ryjr *>` "t gt RATE' EXTENSION TAX TOTAL <br /> 23.62 TONS Class II Soil by Ton <br /> i <br /> i <br /> i <br /> IGHMASTER CERTIFICATE THS IS TO CERnFY That the following described commodity was welghed measured or counted by a welghmoster whose signature is NET AMOUNT <br /> this �iFE&&co^Gd of" accuracy as prescribed by Chapter 7(commencing with Sectlon 12700)of Division 5 of the California Business <br /> � QeKadrWlstered by tFDly"ONyleasurement Standards of the Callfomla Department of food and Agriculture <br /> F'.G a NONE TENDERED <br /> TRAILER I VYaS'76 <br /> Schedule 24 hours in advance directI)t with the landfill . CHANGE <br /> Call (20`?)' '82--4298 to schedule. <br /> Drive Sa'f'e 1 y I ( CHECK NO <br /> DRIVER'S SIGNATURE ���recycled paper { <br />