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SITE FORWARD LANDFILL 9999 S AUSTIN RD MANTECA, CA 95336 -- <br />CUSTOMER <br />010692 ADVANCED GEO ENVIRONMENTAL INC. WILLIAM LITTLE <br />SITE I TICKET # YB 1127484 WEIGHMASTER <br />rhric,t-;,-,,, r::. DATE/TIME IN 12-17-?()lti 1 () • () ':l ;am VEHICLE CMAT 28 REFERENCE <br />CELL <br />DATE/TIME OUT 12-17-2015 10·03 ;arr <br />CONTAINER <br />837 SHAW ROAD INVOICE <br />'-/ <br />'- <br />42041517787 B�99'slf§l�G <br />SCALE IN GROSS WEIGHT 58,940 NET TONS 17.08 MANUAL OUT TARE WEIGHT <br />I <br />24,780 NET WEIGHT 34,160 INBOUND <br />QTY. UNIT DESCRIPTION RATE EXTENSION TAX <br />20.0( YD TRACKING QTY <br />17.QE I TN SW-CONT SOIL LATHROP <br />1.0( ENVIRONMENTAL FEE 1 <br />1.0( FUEL RECOVERY FEE <br />The undersigned Individual signing this document on behalf of Cu stomer acknowledges that he or she has J d and understands the terms and conditions on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />/ � <br />RS-F042UPR (07/12) 7/?i SIGNATUAE _..,...�---�---,,_� _____ tv"�_t'e-·_·· __ · __ _ <br />TOTAL <br />NET AMOUNT <br />TENDERED <br />CHANGE <br />CHECK# <br />I <br />'