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), 'o FORWARD <br />INCORPORATED <br />9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br />4anteca, CA 95336 Stockton, CA 95206 <br />andAh 109) 982.4298 / WEIGHING LOCATION Main OTu NO) 064482 <br />nesoume Recovery: (209) 9824936 Fax: f209) 4650631 <br />678111 <br />ADVANCED GEO ENVIRONMENTAL <br />KEVIN M,_KiBBEN <br />4005 N. WILSON WAY <br />=-E 71CKET <br />GRID <br />oel 033536 <br />--97 <br />WEIGHMASTER <br />S. .MAC I EL <br />DATE IN <br />TIME IN <br />04/21/TS <br />1' 2E <br />GATE DUT <br />TIME OUT <br />04/21/56 <br />15:23 <br />/ VE'�ICLF <br />ROLL OFF <br />11I &M M:: 1 <br />.=TO K T _IN CA 95205-24861 REFERENCE ORIGIN <br />i <br />I <br />manual ro _ _ W _ 1.1 !'t ,. 104760 —E inbcuna - Charge ticket <br />Manual <br />1'=F -_'- <br />Manual Tare Weight 31160 LS <br />Net Weicht 73600 LE <br />QTY. I UNIT DESCRIPTION = I EXTENSION TAX TOTAL36007ONS Cover Class !I Tom <br />KEIG-MASTER CERTIFICATE M S 0 CEE"'44Wme` %.•., _scn.,= ._ —:='. .__..= Y13 —10.5c _ _- =_., ... Tose, w^:a e<_ <br />. __^IfiC,,:9 .. _ ... 'ecCgnlzeal aumC.•I'r C! ocewom .. =mCf, eC C. .. „z -S g .. . -- _ _ _ _ <br />eSc6cm Cc, _...'zTema m the Mon , a! Measm = ^CC CS Y -E _ _ _ .. _rte. _ - -:-i: a, a AO^C-.:..-S � <br />Manifest # 619 <br />40 <br />NET AMOUNT <br />I <br />Truck # =•x 63616 <br />P.O. #k NONE TENDERED <br />Trailer # 3 . 24 . 9e <br />Schedule ='-F -':'_urs in advance directiv with the landfill. I CHANGE <br />Call (209)962-4253 to schedule. <br />Drive e =afe v! i CHECK NO. <br />recycled pare <br />DRIVER'S SIGNATURE C� <br />