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n <br /> FORWARD SITE TICKET GRID <br /> INCORPORATED c-)I 077987 <br /> 9999 South Austin Road/WEIGHING LOCATION P O Box 6336 V. PONCE WEIGHMASTER <br /> anteca, CA 95336 Stockton, CA 95206 <br /> ndfill (209) 982-4298/WEIGHING LOCATION Main Office (209) 466 4482 DATE IN TIME IN <br /> source Recovery (209) 982-4936 Fax (209) 465-0631 03/16/98 <br /> 675111 DATE OUT TIME OUT <br /> ADVANCED GEO ENVIROMENTAL 03/16/98 13:46 <br /> KEVIN Mc Fc I BBEN VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY DILL 691 <br /> STOCI:TON CA 95205-2486 REFERENCE I ORIGIN <br /> 75111 ECCHINI 8 GIOVANN <br /> Scale 1 Grass Weight 51240 LES Inbound -- Charge ticket <br /> Scale 2 Tare Weight 30300 LB <br /> Net Weight 20940 LB <br /> CITY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 10.47 TONS Class II Soil by Tan <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY Tnaf the fo5owino oescnbed commodity was weighed measured or counted by,-j weighmaster whose signature is <br /> on this certificate who is a recognized authority of occurocy a,prescribed by Chapter 7 (commencing with SectFon 2700)of Dmslon 5 of the California Business <br /> o Professions Code comrnistered by the Division of Measurement Standards of the California Departmeni of Food and Agriculture <br /> MANIFEST # 645140 NET At�OLINT <br /> TRUCK # SP453510 <br /> F.O. # NONE TENDERED <br /> TRAILER # 1 I D5790 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209 )982-4298 to schedule . <br /> Drive Saf e l y I I CHECK NO <br /> recycled paper <br /> DRIVER'S SIGNATURE <br />�'--- .,...»....... w...,.._�...,,.._., ,_.�....„.,.. �....,_.,,......................,...........,.,..,.. ...a...rsa,:..� �n:w.ryane•rrrar�emsi�s,�.w.r.,.�w..,• <br />