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FORWARD <br /> L� INCORPORATED SITE TICKET GRID <br /> 02 1 _l.3215 j4 L,i—.a-', <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 VVEIGHMASTER <br /> Ianteca, CA 95336 Stockton, CA 95206 5. !'IAS I EL <br /> Indfill: (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 <br /> gWsource Recoverv: (209) 982-4936 DATE IN TIME iN <br /> Fax: r_091 465-0631 <br /> 6-17 Eq m <br /> DATE OUT TIME OUT <br /> ADVANCED 1=E!� ENVIRCNMEN17AL <br /> K'E V I N tj f:;I i <br /> DDE. VEHICLE <br /> N. WILSON WAv ROLL OFF <br /> c <br /> ED Cf <br /> ET,-2Ck,7CIN !CA LEFERENCE ORIGIN <br /> r i <br /> v/S1 j i 11': °. S _AS AND =RDC Ems.•Y. <br /> R <br /> Weight 82.17,6i-; ;_ nC.yLliid — `_h.=1—co tr <br /> 1a ua1 Tare iieia�t. =i=E;c_:r - <br /> I D <br /> rr Met Weiaht �7' n <br /> — �- LE <br /> QTY UNIT <br /> DESCRIPTION E <br /> `E c, O. _ EXTENSION TAX TOTAL <br /> I <br /> I i <br />� I i <br /> I <br /> I <br /> 4F-!GHMASTER CERTIFICATE <br /> c jntecb ,e rm <br /> osier,whcse sgnotUre <br /> :.cfe._h.:�- �., 4 �., + - bea hcc :.err enciro _ �'OOt _ ;.c�c s Gf the Co!Ifer,,,a Bcslness <br /> Man 1 —_.t. # -�'-t'._�G.t <br /> �' `=� NET AMOUNT � <br /> P. E . ## NONE <br /> TENDERED <br /> _--hedule 24 hours in advarce -_ <br /> i:-ec+lv with the land?il <br /> x.11 IEf,C i48^'S2— 4^. t= =-F�:_it c CHANGEl <br /> Dl 1 v 5a <br /> r. <br /> CHECK NO <br /> i <br /> DRIVERS SIGNATURE __ ��•"cyclea paper <br />