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FORWARD <br /> SITE--I i TICKET I GRID <br /> INC 0RP0RATPD 01 191078 D.....94 <br /> U99 SouWEIGHMASTER <br /> South Austin Road/WEIGHING LOCATION P O Box 6336 PONCE 95336 Stockton,CA 95206 <br /> an 09) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 r'"= DATE IN < TIME IN <br /> r ource Recovery (209) 982-4936 Fax (209) 465-0631 05/25/00 08:00 <br /> Q52000 DATE OUT - b TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL (15/25/00 08:25 <br /> BILL LITTLE u , = , - VEHICLEt y h ROLL OFF <br /> 4005 N WILSON WAY KBOB K B4 <br /> STOCKTON CA 95205 s'REFERENCE g x ORIGIN <br /> 52000 f EB KHAN <br /> Scale 1 Gross Weight 73980 LB Inbound -- Charge ticket <br /> Manual Tare Weight 30860 LR <br /> Net Weight 43120 LB <br /> QTY UNIT , i f h dDESCRIPTIONi>lt tT4?'4-4ria Y i r N M1RATE EXTENSION TAX TOTAL <br /> 21 .56 TONS Cover Class II Ton <br /> I <br /> I.IGNMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature is <br /> this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of DNIslon 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 I O 1 NET AMOUNT <br /> .TRUCE:. # TEMP <br /> TENDERED <br /> Schedule 24 hours In advance directly with the landfill . CHANGE <br /> Call (209 )QB2-4248 to schedule. <br /> Drive Safe 1 y I I CHECK NO <br /> DRIVER'S SIGNATURE <br /> I <br /> I <br /> I <br />