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FORWARD SITE TICKET GRID <br /> �+ <br /> INCORPORATED 033540___ <br /> 9949 South Austin Road/wEIGHING LOCATION P.O. Boz 6336 WEIGHMASTER <br /> .anteca, CA 95336 Stockton, CA 95206 S 'IAC I EL <br /> Indlill: (209) 9824298/WEICHING LOCATION Main Office: (209) 466-4482 DATE TIME IN <br /> 'tVsource Recoverv: (209) 982.4936 Fax: 1209) 463-0631 04/21 /56 15: EE <br /> 676111 DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL ;4/E1 T_ jC. -? <br /> 1 r. <br /> No KEVIN M=K I BBEN %TKaF ROLL OFF <br /> c <br /> N. WILSON WAY LUTREL _'Z <br /> OCKTON =_A 95205—E4% REFERENCE ORIGIN <br /> am 167 1 i 1 K 1 S GAS AND GROCE,^r•:''Y. <br /> Manual Gros_ Kacicht 91200 LB inbound Charge ticket <br /> Manual Tare Weiaht =1440 LS <br /> No Net Wei h t 6776 LS <br /> QTY. UNIT DESCRIPTION RATE _I EXTENSION O'J TAX ICTAL <br /> 33.6 j TIDNti Cover Class j T Tion � <br /> r. I <br /> I I I <br /> I <br /> TEIGHMASTER CERTIFICATE Ti,S:S Tp CEPTIF,Tho','he t „ 0 „- Se ppolure is <br /> Ce'7if'CXC- WhC is d recognized outhorlty df OC wm, .a y_, _ <br /> _'eSSionS:ode oo'nlnisterec ty the Down of Meamm-- Yo- _ _ � _.__. _ _Manifest # 619415 <br /> NET AMOUNT <br /> Truck # SP37241 <br /> F.0. # NONE TENDERED <br /> Trailer # 3.E4. 02 <br /> rr <br /> Schedule 24 hours In advance directly 'N.'. th the landfill . CHANGE <br /> Call (209 )582-4298 298 to schedule. <br /> Drive =a*e l`,' ! ' CHECK NO. <br /> �0% recycled paper <br /> DRIVER'S SIGNATURE <br /> imp <br />