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FORWARD LANDF <br />9999 S AUSTIN <br />MANTECA, CA 95336 <br />TOMER <br />009914 <br />JIM THORPE OIL INC. �. <br />MARTIN THORPE <br />P 0 BOX 357 <br />4204145409 <br />SCALE IN GROSS WEIGHT 77,040 NET TONS 23.31 <br />SCALE OUT TARE WEIGHT 30, 420 NET WEIGHT 46,620 <br />DESCRIPTION a:, :.,:`JRATE <br />18.0YD I TRACKING QTY <br />23.3 TN SW -BENEFICIAL REUSE STOCKTON <br />SITE TICKET k <br />CELL <br />Y8 1 30 <br />DW&RV Fia G. <br />WEIGHMASTER <br />Christina <br />DATERIME IN <br />DATERIME OUT <br />04-16-2014 2:02 ipm <br />04-16-2014 16 prr <br />VEHICLE <br />CONTAINER <br />THORPE 7 <br />REFERENCE <br />BILL OF LADING <br />Rl 7A OS <br />IkITs' '�q hMm � <br />t <br />-- 4 -S <br />- <br />The undersigned Individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />RS-F042UPR (07/12) SIGNATURE <br />FORWARD LANDFILL <br />9999 S AUSTIN RD <br />MHN'TEUH, GH <br />rOMER <br />009914 <br />JIM THORPE OIL INC. <br />MARTIN THORPE <br />P 0 BOX 357 <br />4204145409 <br />INBOUND <br />TOTAL <br />TENDERED <br />SITE I TICKET*CELL <br />UNIT <br />WEIGHMASTER <br />DW&RV Fia G. <br />DATE/TIME OUT <br />VEHICLE <br />THnPPP -7 <br />CONTAINER <br />REFERENCE <br />INVOICE <br />BILL OF LADING <br />817495 <br />SCALE IN GROSS WEIGHT 77,040 NET TONS 23.31 <br />SCALE OUT TARE WEIGHT 30,420 NET WEIGHT 46,6620 INBOUND <br />OTY. <br />UNIT <br />DESCF{ ^�.., ,� "- <br />TRACKING QTY <br />RATE <br />EXTENSION <br />TAX.'""' <br />TOTAL.. <br />I 8.00 <br />YD <br />23.31 <br />TN <br />SW -BENEFICIAL REUSE STOCK <br />� 1 <br />.''".,�..,^ a -, �-.':��;• <br />j Q <br />. r <br />The undersigned Individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />TENDERED <br />CHANGE <br />CHECK, <br />