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FORWARD SITE- ct � TICKET GRID <br /> INCORPORATED 01 191077 WEIGHMASTER D-99 <br /> 9 South Austin Road/Wfr 'J . ' <br /> IGH1NG LOCATION P O Box 6336 U� Y PONCE <br /> andCA 95336 Stockton, CA 95206 <br /> 209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 * g :,DATE IN TIME IN <br /> ource Recovery (209) 982-4936 Fax (209) 465-0631 05/25/00 o7:59 <br /> 952000 'DATE OUT , TIME OUT <br /> ADVANCED GE© ENVIRONMENTAL 05/25/00 08:28 <br />' BILL LITTLE r r r,VEHICLE = a 1 ROLL.OFF <br /> 4005 N WILSON WAY LUND L1 <br /> STOCk TON CA 95205 r vREFERENCE,—�-+t � - ORIGIN <br /> 52000 r E2 KHAN <br /> Scale 2 Gross Weight 71080 LS Inbound - Charge ticket <br /> Manual Tare Weight 30940 LD <br /> Net Weight 40140 LB <br /> QTY UNIT e t DESCRIPTION' i J& R ° 4s A , BATE. ,` EXTENSION TAX TOTAL <br /> 20,07 TONS Cover Class II Ton <br /> I <br /> 1 <br /> tIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature is <br /> his certificate who is a recognized authority 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 Agrfculture <br /> MANIFEST 4# 721 102 NET AMOUNT-- <br />' TRUCK # 5 .71533 <br /> TENDERED_ <br /> TRAILER # 1 WM 1795 <br />' Schedule 24 hours in advance directly with the landfill . CHANGE: <br /> Call (209 )982-4298 to schedule. <br /> Drive Safe l y I I CHECK NO <br /> 4 J. <br />' DRIVER'S SIGNATURE <br /> 1 <br /> 1 <br /> I <br />