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1 ' � FORWARD SITE TICKET GRID <br /> INCORPORATED 0 11 191383 D-99 <br /> - = <br /> 9 South Austin Rodd/wEIGHING LOCATION P O Box 6336 _ wEIGHMASTERKA. SPARKS <br /> CA 95336 Stockton, CA 95206 <br /> an 09) 982-4298/WEIGHING LOCATION Main Office (209)466-4482 DATE:IN , ' + TIME IN <br />�ource Recovery (209) 982-4936 Fax (209) 465-0631 05/25/00 15:39 <br /> 952000 n ' 3 .DATE OUT -' -� TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 05/25/00 15:39 <br /> BILL LITTLE VEHICLE-$ ROLL OFF <br /> 1 4005 N WILSON WAY , H F NT 23� �ORIGIN <br /> STOCKTON CA 95205 <br /> 9'52000? ZEB KHAN <br /> Scale i Gross Weight 75200 LB Inbound - Charge ticket <br /> Stared Tare Weight 31180 LB <br /> Net Weight 44020 LH <br /> QTY UNIT - + `DESCRIPTIONS`S ry 5 RATE , : ' EXTENSION= x TAX TOTAL. <br /> 22.01 TONS Cover Class II Tan <br /> 1 <br /> 1 <br /> tGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is <br /> his certlflcate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing wdh 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 /> NET AMOUNT <br /> MANIFEST # 721129 <br /> 1 TRUCK # 3W39295 <br /> TENDERED <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> call (209 )9ee-4298 to schedule. <br /> Drive Safely ' ' CHECK NO <br />' DRIVE=R'S SIGNATURE <br /> 1 <br /> 1 <br /> 1 <br /> 1 <br />