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FORWARD <br /> INCORPORATED {:)11 TICKET GRID <br /> 191311 D-99 <br /> 9 South Austin Road/WEIGHING LOCATION P O Bax 6336 WEIGHMASTER <br /> af, CA 95336 Stockton, CA 95206 i-• BOA I NGUE : <br /> (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> ource Recovery (209)982-4936 Fax (209) 465-0631 (.-)5/25/00 13:30 <br /> 9520CIO _ x,sDATEIOUT t TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 05/25/00 13:30 <br /> BILL LITTLE (VEHICLE. , ROLL OFF <br /> I 4005 N WILSON WHY LUND Ll <br /> STOCK'TON CA 95205 REFERENCE ORIGIN <br /> Q52000 fEB KHAN <br /> Scale 2 Gress Weight 77160 LB Inbound - Charce ticKet <br /> Stared Tare Weight 30900 LB <br /> Net Weicaht 46260 LB <br /> QTY UNIT DESCRIPTION we" w_g am e s c RATEEI, { P EXTENSION a TAX TOTAL <br /> 23. 13 ONS Cover Class II Ton <br /> I <br /> IGHMASTER CERTIFICATE THIS 1S TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature is <br /> his certlflcate who is a recognized outhonty of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> MANIFEST # 721 121 NET AMOUNT <br /> JeTRUCK, # 5KI533 <br /> TENDERED <br /> TRAILER # 1 WN 1798 <br /> Schedule 24 hours in advance directly with th df CHANGE <br /> Call (209 )982-4298 to schedule. <br /> Drive Saf e l Y I I � CHECK NO <br /> DRIVER'S SIGNATURE <br /> I <br /> 1 <br /> I <br /> 1 <br /> 1 <br /> i <br /> I <br /> 1 <br />