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F.ORWARD <br />INCORPORATED <br />)999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br />'1anteca, CA 95336 Stockton, CA 95206 <br />andfill: (209) 982-4298 / WEIGHING LOCATION Main Office: (209) 466-4482 <br />..esource Recovery: (209) 982-3936 Fax: (2091 465-0631 <br />676111 <br />ADVANCED GEE ENVIRONMENTAL <br />KEVIN i'lcKISBEN <br />41:05 N. WILSON WAY <br />STOCKTCN CA 15205-24% <br />/ S7E I TICKET <br />GRIO <br />nal 033533, <br />D-17 <br />WEIGHMASTER <br />S. MAC l S _ <br />C•ATE IN <br />TIME IN <br />04/21 S 1 <br />15: 1S <br />04%2 <br />1 XS I 1C•`-1 <br />,oma, , <br />GARENCE I ORIGIN <br />675111 1't'. & E SAS AND t=ROCERY <br />Manual I_ress W� ipht : -ct-,5aO L= TnL'_und - Char^= ticket <br />Manual <br />ick- <br />Manual Tare Weight 31520 LE <br />Net Weiaht. 6Eq60 LE <br />QTY. I UNIT 0ESCR:PTION I _,L7_ EXTENSION I TAX TOTAL <br />34.42 TONS Cover Class 11 Tom <br />i <br />i <br />I <br />I <br />1 <br />i <br />./EIGHMASTER CERTIFICATE - 6 6 0 CEO" - --e Qtmn ____ _e_ _z -. z . ...._ ..- _I&T : 7 _ _ _ My -n" Two <br />o - <br />.:= _.:JhC _ C •ecognizea c". -C.-, _ ....C. 0C. m _ -: cep m _ _v_ - c: _ - ;-_ - - - _ <br />Manifest # 61'?'4I3 <br />Truck SK37241 <br />P. 0. # MINE <br />Trailer =k 3.`4.x` <br />Schedule 24 hour= in advance directiv with the _andfill. <br />Call (205082-42% "82-42`?e tO schedule. <br />_rive SaT elv i ! <br />DRIVER'S SIGNATURE <br />I TENDERED <br />I <br />I <br />CHANGE <br />I <br />CHECK NO <br />�� recvcred pape <br />