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FORWARD <br /> � SITE TICKET GRID <br /> INV : ORPORATED i78319 <br /> W EIGHMASTER <br /> 9999 South Austin Road,rwEIGHING LOCATION P 0 Box 6336 <br /> AACA 95336 Stockton, CA 95206 MAROUE` <br /> La 1(209) 982 4298/WEIGHING LOCATION Main Office (209) 466 4482 DATE IN TIME:IN <br /> Resource Recovery (249) 982 4936 Fax (209) 465 0631 03/23/(-)(-) 11 '33 <br /> 9339f)(-) DATE OUT TIME OUT <br /> NTC ()3/23/(}c) 11 -56 <br /> ;LEX FLIM.RES VEHICLE ROLL OFF <br /> 1 1 1 7 LONE F ALN AVE . GTE. 3 1 1 <br /> REFERENCE r ORIGIN <br /> MODESTO CA Q-j3`,1 <br /> 9'1)3Q()() V F I OUS LOCATIONS <br /> :kale 2 Gross Weight 17 4(-) LB Inb0l-i - Cha)-o;--- ticE et <br /> Manual rare Weight 137(_)() LD <br /> Net Wexaht 4240 LS <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> e. ()(-) D 'Uh1 ClaSS 11 D4-L.(ms <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the rolbwing Cesc ibed Commodity was weighed measured or counted by a weighmoster whose signature is <br /> on his cernficate .vno Is c recognizes authority of accuracy as presc ibed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> —C CC17 nam ni-efeC n/ re_ivicicn cr IvieaSUrerrent zTcncc cs CT The'�C'7Cr'lla eperTmer`T Cr;QCs C-d�-g"C'-M re <br /> NET AMOUNT <br /> .MANIFEST ## 1 1(7788 <br /> rRUC} ## 5C68820 <br /> TENDERED_ <br /> Schedule 24 hOli in advance directly with the landfill . CHANGE <br /> Call (2()9 )982-4293 +L, schedL_Lle. <br /> Drive Safely ' ' CHECK NO <br /> rec clad papa <br /> DRIVER'S 51OiVATUFIE <br />