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POTRERO HILLS LANDFILL, INC. <br />Weighed at: <br />POTRERO HILLS LANDFILL, INC. <br />P.O. Box 68 <br />FAIRFIELD, CA 94533 <br />Deputy: DOMINGO R <br />Vehicle ID?: 7019-22259 <br />Reference: P11LF21436L <br />Haul Cust 4: LODI LOAD W/LINER <br />DriverOn?: N <br />Route: JOB4166456 <br />Trailer: 3531 166456-1 <br />Origin: LODI <br />DATE IN: 05/27/2021 TIME IN: 11:31:54 <br />DATE OUT: 05/27/2021 TIME OUT: 12:15:38 <br />Job: PHLF21436L <br />INBOUND TICKET Number: 01-1276342 <br />SCALE 1 GROSS WT. 43320 LB <br />SCALE 3 TARE WT. 31020 LB <br />NET WEIGHT <br />12300 L3 <br />Qty Description <br />6.15 Profile Soil-T Disp <br />WEIGHMASTER CERTIFICATE: <br />THIS IS TO CERTIFY that the following <br />described commodity was weighed, <br />measured, or counted by a weighmaster, <br />whose signature is on this <br />certificate, <br />who is a recognized authority of <br />accuracy, as prescribed by Chapter 7 <br />(commencing with Section 12700) of <br />Division 5 of the California Business <br />and Professions Code), administered by <br />the Division of Measurement Standards <br />of the California Department of Food <br />and Agriculture. <br />X <br />(Deputy Signature) <br />This is to certify that this load does <br />not contain any hazardous materials, <br />medical waste or liquids of any type. <br />X <br />(Driver Signature)