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FOfZWARD77. 243898 <br /> SITE'd TICKET GRID <br /> INCORPORATED <br /> 9999 South Austin Road/WEIGHING LOCATION 1145 W.Charter Way SCALEGPERATQR <br /> Manteca,CA 95336 Stockton,CA 95206 <br /> Landfill. (209) 982-4298 wriGHING LOCATION Main Office: (209) 466-4482 <br /> �DATE IN.',- TIME IN <br /> Fax:(209) 466-1067 <br /> DATE OUT.- <br /> 'ROLL OFF <br /> 7' ;'ORIGIN, <br /> i T <br /> QTY. > UNIT -DESCRIPTION <br /> 9a,RATE 'EXTENSION TAX,: TOTAL <br /> A— F <br /> C T.; <br /> F7 <br /> NET AMOUNT <br /> "TENDERED.-, <br /> CHANGE <br /> CHECK NO,,,, <br /> DRIVER'S SIGNATURE /P, ,.�v_`�ZL�7 <br />