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r'• A <br /> .FORWARD <br /> 51TEg :,TICKET-*.,: GRID <br /> INCORPORATED E 1 240(391 D•-S9 <br /> 9999 South Austin Road/WEIGHING _ `<a WEIGHMIASTER <br /> LOCATION P.O. Box 6336 �" PONCE <br /> Manteca(, CA 95336 Stockton, CA 95206 <br /> Landfill:(209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE:IN TIME IN. <br /> Resource Recovery:(209) 982-4936 Fax:(209) 465-0631 12/01 /OLS 13118 <br /> Ot'fOa34 .:: "t�S' '=`r DATE OIIT "c: i TIME:OUT <br /> GROUND ZERO ANALYSIS 12/o 1 /00 IS.- Is <br /> EAKI GARVEY r>':VEHICLE';.' ROLLOFF <br /> 1714 MCDON 79 <br /> ESCALON CA 95321) REFERENCE,"" I ' ORIGIN <br /> s-.34r NORTH STOCKTON AUTO <br /> Scale 1 Gross Weight 73S60 LS Inbound - Charge tickpt <br /> Stared Tare Weight 33440 LD <br /> Net Weight 40120 LD <br />? CITY. UNIT"•`~ DESCRIPTION : RATE EXTENSION TAX TOTAL <br /> 20„{ 6 TONS Class II Soil by Ton <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by G weighmaster,whose signature is <br /> on this certificate,who Is a recognized authority of accuracy.as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of The California R.slness <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> MANIFEST # NONE NET.AMOUNT <br /> TRUCK 0 9A21994 <br /> P.O. # NONE PROVIDED TENDERED <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Calx (209)982-42118 to schedule. <br /> Drive Safe l y it 4 CHECK No, <br /> DRIVER'S. SIGNATURE 0 :�Ww <br />