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FORWARD <br /> INCORPORATED SITE I TICKET v GRID <br /> 199 Austin Road�WEIGHING LOCATION y ti A.O. Box 6336 J WEIGHMASTER <br /> ant4jW 95336 Stockton, CA 95206 s t Ir <br /> ndf 09)982-4298/WEIGHING LOCATION Main Office. (209)466-4482 DATE IN TIME IN <br /> source Recovery (209) 982-4936 _Fax (209) 465-0631 <br /> 64i e711 �' DATE:OUT TIME OUT <br /> sTOCKTON PETROLEUM COty I Atl'f � ; -7 ,Ktsr, <br /> JA�r MCI I ;ATF! VEHICLE ROLLOFF <br /> 1905 IgAvyl DFI'1E -, <br /> STOCKTON CA tz52o6 R ORIGIN <br /> 3TOr-�,TON FETPOLEUM CO <br /> Scale 1 Gi-asv— Weight 8691::-0 Lb lnbOLInd - Charge ticf et <br /> Scale 2- Tare Welglit 3020() LAS <br /> -! t`, I ! <br /> QTY 1 DESCRIPTION Y „ y RATE: EXTENSION TAX TOTAL <br /> 25.38 TONS C1,.aa2 Il Soil b,, Ton <br /> a ` <br /> t . <br /> i <br /> GHMASTER CERTIFICATE THIS IS TO CERTIFY That the folloWng described commodity was weighed measured or counted by a welghmaster whose signature Is7NETA� SIL 000tzed i�4rl 51ROccuracy as prescribed by Chapter 7(comment€ng with Section 12700)of Division 5 of the Catfornla BusinessTPAILER # 1Schedule 24 h�,urs 21� advance d1recf-1;, with the I�ndTill . <br /> Cali. (a0T)9Se-42'7S to wchedule. <br /> Or~a-,'e Satfel y t I JCHECKDRIVER'S SIGNATUREi~ ' <br /> i <br />