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r ' <br /> ' FORWARD P�� <br /> ti TICKET, GRID <br /> INCORPORATED <br /> 1 240765 ILMI..!-D2000 <br /> WEIGHMASTER <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br /> Manteca,CA 95336 Stockton, CA 95206 C GARDA.J.AI_ <br /> Landfill:(209) 982-4298/WEIGHING LOCATION Main Office:(209) 466-4482 DATE IN'''w. TIME IN <br /> Resource Recovery: (209) 9824936 Fax:(209) 465-0631 i a/0 1 09 152 <br /> 000 234 DATE OUT ,;.., ..,,.- TIME OUT <br /> GR:OI..ND ZERO ANALYSIS tR/0109,, <br /> VEHICLE-'_.".. ROLL OFF <br /> SE!aN CAF.V Y <br /> 7 1REFEREN r r r} ORIGIN <br /> ESC ALON CA 95.320 <br /> NORTIA SSTOL"KTON ALJT0 <br /> Baal a Gross F L4eight 611?26f? LD Inbound - Charge tiel et <br /> • <br /> Stored Tal-L= v#eiaht 31L?00 LS <br /> i�i�n:fi <br /> OTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> IP—b' 8 TOME Class I I Soil by Ton <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a welghmaster.whose signature is <br /> on this certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of DMslon 5 of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of food and Agriculture. <br /> NET AMOUNT <br /> MANIFEST # 0 <br /> 4 TRUCK # 9A93768 <br /> y <br /> P.O. NONE PROVIDED TENDERED <br /> I Schedule 24 hours in ,advance directly with the landfill . CHANGE <br /> Call (209 )YGPE- 4290 to schedule. <br /> r 'T GHECK NO.' <br /> Drive Safely ! 1 <br /> S <br /> DRIVER'S SIGNATURE <br /> 1, <br /> • <br />