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r <br /> FORWARD SITE TICv ET GRID <br /> �+ <br /> INC0RP 0 R A T F D 021 ;-,.3. 537 —17 <br /> 4999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> anteca, CA 95336 Stockton, CA 95206 J. MAi:I EL <br /> Ind&h (209) 9824298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE IN ME IN <br /> °'resource Recovery: (209) 9824936 Fax: (209) 4650631 i, 1 1 23 <br /> 676111 DATE OUT TIME OUT <br /> ADVANCED C�ECI ENVIRONMENTAL 4. C 1 i'�?= 1T:25 <br /> �' KEVIN McKIBBEN <br /> :'CHICLE ROLL OFF <br /> 4005 N. WILSON WAY j limp I 14P <br /> STOC.KTON CA 95205-2466 REFERENCE ORIGIN <br /> am A78111 1 K 1 E GAS ANDGROCERY <br /> Manual Gross Weight 85960 LS inbound — Charge ticket <br /> Manual Tare Weight 31=60 LB <br /> r. <br /> Net Weight <br /> CITY. UNIT DESCRIPTION j RATE I EXTENSION TAX j CTAL <br /> 27.35 <br /> T%jh(E _.OvGj- _,',as_ ! I Ton <br /> j <br /> i <br /> I <br />'V/EIGHMASTER CERTIFICATE THIS C CE-'Gl 'h D7 t,,e tcrcwng cescribec _ c- T5E c;�9wUw rs <br /> ,f ticoie whc s o ec rzeo ou&a, w omwmy as prescribe r ; _- se Ca„*crni�Bus ness I <br /> _e5so_-^n5 Cooe -.ominve-e0 Dy t')e Divjs�cn C,f Areosure..'e^7%Mw� - _ _ - <br /> Iy <br /> Manifest # 619411' NET AMOUNT <br /> Truck # 1� <br /> P.O. # NONE TENDERED <br /> I I ai ler # 3.24 . ?8 <br /> Schedule 24 hours in advance dire+_tiv with the landfill . CHANGE <br /> Call (20? )%2-4258 to schedule. <br /> Drive Safe 1 v ' ' CHECK NO. <br /> Ir r <br /> DRIVER'S SIGNATURE <br /> `A recycled paper <br /> r <br />