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FORWARD SITE TICKIFT GRID <br /> INCORPORATED „2 C)2259t:r 1 D-;;- <br /> )999 South Austen Rwd/vvrrGsrrwG aOCAT10N P O Box 6$35 <br /> wEIGHMASTER <br />+Aanteca.CA 95336 Stockton.CA 95206 S. MAC I E'_ <br /> (fill (209)9824298/WEIGHING LOCATION Mata Office (209)466-4482 TIME IN <br /> Will Recovery.(209)9824936 Fax (209)46S-0631 u3/26/" 13:34 <br /> 67716: DATE OUT _.7twtE OtJT <br /> C A L. INC. 13: 35 <br /> STELE ESSERT ROLL 6P <br /> -r <br /> F EAbl7L%f FOAL <br /> VACAVILLE CA 9So67 At��� � <br /> ,b771b1 VAF+IOUS LOCATIONS <br /> Manual Gross Weight 75100 LE Inbound — Charce tict_at <br /> Manual Tare We i ah t 3�X200 L3 <br /> Net We i ah t 44906 LP <br /> CITY UNIT OESCRIP ION RATE EXTENSION TAX' TOTAL <br /> 22.45 TONS Co.rsr :'.lass I 1 Tom <br />+vEIGHMASTER CERTIFICATE Mf5 IS 14 CERTIFY that frac f~rg d.scfibed cornmppty was wel h" meaeuveo or Counted by o w lgh.noster whose w7vt%ss Is <br /> -n tih cer4ftote who Is a recognKeC m0hofity of occvwy os prescrebed by Chopti r 7(corrinlenehg with Section 12M OT DIvWon 6 of the C ftrrio 8u*v" <br /> 0 Ptafeaons Code odrnIr-tstered by the DIvium of Mecmurarnent Stonoordt d fie Caelorroa DepoMTwO of Foal and Agr cuthae <br /> 7JbT AMOUNT <br /> htanjTe=t it ": ''w« <br /> Trt_tCI # *C14746 <br /> P .O. # NONE TENDERED <br /> • T-asla-- # 3.23.-=13 <br /> Schedule 24 nours in a-vJan.a Jxrgcti•, with the r, ar,df t l l , 0-10+3 <br /> Cai 1 (21_•C� -c52-4205 to schedule. <br /> Dr i e Safe 1 , ' CHECK NO <br /> DRIVER'S SIGNATURE �■� <br /> ,Q.. <br /> FORWARD INC. LANDFILL CUMO YARDS <br /> Forward Shalt h&vo no oftatton to accept the Waste It weather or otter • <br /> condrtiare empafr Me sate and eftK"M(IlspOsal of the wufe or if the waste DISMSAL METHOD! go BE COMPLETED BY)FORVWkRD) <br /> impairs the sate and afleetWe operat*n of the LarKMIL Forward shaft use _ <br /> reasonable eTlorts to promptly notify Dw*sw of do rnabifity to acceyt thQ DISPME t3IC jAeR4a!EtnjOTHER <br /> waste for any mason If Forward's rehlsal to accept the waste r8 based ZI L <br /> weather or other Sita condrtcm Forward shaft twAdy tt*Disposer when ado <br /> • conditions are expected to change such that Forward will be We to accept <br /> tho waste. ❑ SLUDGE <br /> ` 4 . Q AS SIDS LE <br /> 3 UTY ICKET - ❑Wom <br /> F; M A TH MMDD IEW _� DA'[E v <br /> ❑ ASH <br /> ❑ OTHER <br /> CHEOULING MUST BE AIA81f PRIOR TO 4 OD P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULs CALL(209)982-47-98 MA71065 MANIFEST <br /> FORWARD INC Co" <br />