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POTRERO HILLS LANDFILL, INC. <br /> Weighed at: <br /> POTRERO H1L1S LANDFILL, INC. <br /> P.O. Box fib <br /> FAIRFIELD, CA 84533 <br /> Deputy: Jw ea WUinunel <br /> Depusit: Jaclyn Deleon <br /> BILI. TO: 2748 <br /> RAH L:NVIkONMFNTAI., INC. <br /> Vehicle ID: 8A2S504-TT <br /> Reference: PHL.F19220L <br /> Grid: 11B <br /> HaulCust#: LATHROP 'LOAD WI! 1141k <br /> DriverOn?: N <br /> Route: 0329191 <br /> Origin: L.AIHROP <br /> DATE IN: 04/01/2019 TIME IN: 10:14:34 <br /> DATE OUT: 04/01/1019 TIME tuy: 11:10:57 <br /> INBOUND TICKET Number: 01-01022114 <br /> SCALE 1 GROSS WT. 12b60 LB <br /> SCALE 3 TARE WT. 79160 LB <br /> NET WEIGHT 4:3400 L.B <br /> Uty i escr iptlrf, Amuttnt. <br /> 21.10 Prutiie Soil-1 Disp ` <br /> RECEIY/ <br /> ED <br /> x -- - MAY 0 8 2919 <br /> ENIVIRONMENTAL HEALTH <br /> WEIGHMASTER CERTIFLCATt: <br /> THIS IS TO CERTIFY that the tollowing <br /> described commodity was weighed, <br /> n>hast.tred, or cuunted by a weighma5ter, <br /> whose Signature is on this certificate, <br /> who is a r'u:ugniled authority of <br /> acctlrai.y, a5 presLr ibud by Chaptet 7 <br /> (commel"Arig with section 12-100) of <br /> Division b of the Calif(Itnta Business <br /> and Prufessiuns Code), administered by <br /> the Divisiurs of MeasurettxsA Standards <br /> of the Califurnia Depat-talent ut Food <br /> and Agriculture. <br /> X-- -- - . -- — — - <br /> (Deputy Signature) <br /> This is to cat tity that this load due;: <br /> nut contain any hazardous matetlals. <br /> medical waste or liquids of any type. <br />