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i <br /> POTRERO HILLS LANDFILL, INC . ORIGIN RTF. <br /> 3675 Potrero Hills Lane, Suisun, CA 94685 <br /> (707) 432-4627 <br /> ( � TRUCWLIC. NO. J08 NO. <br /> (f different from customer) <br /> Weight: gross - � %' 1 tare = `— 1 Net wt. <br /> tons x $ Parton = $ <br /> _ cu. yds. x $ percu. yd. _ $ <br /> Other = $ <br /> Other = $ <br /> Fee kf x $ per yd/ton/load/ � _ $ <br /> Pricing and math subject to office verification. <br /> Driver's Name (Print) Notes <br /> Driver's Signature Weighmaster's Signature <br />