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FORWARD SITE " .TICKET 11 GRID <br /> v►�' INCORPORATED U1 1g1099 1 D--1?9 <br /> s 1 1 � I „ ' "'"' " WEIGHMASTER <br /> 9 South Austin Road/WEIGHING LOCATION P O Box 6336 V. PONCE <br /> CA 95336 Stockton, CA 95206 <br /> 71,0209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 F W, -w ti DATE IN" w- TIME IN <br /> I ource Recovery (209) 982-4936 Fax (209) 465-4631 05/25/00 08:36 <br /> 952000 ''DATE 011 , � V TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 05/25/00 09:06 <br />' 8I LL LITTLE * ' `VEHICLE f, �y r ROLL OFF <br /> 4005 N WILSON WAY CONT I 21 <br /> STOCKTON CA 95205 r » ,REFERENCE -: ' ORIGIN <br /> WL 952000 r EB KHAN <br /> Scale 1 Gross Weight 7BOOO LB Inbound - Charge ticket <br /> Manual Tare Weight 30700 LLQ <br /> Net Weight 47300 LES <br /> QTY UNIT> f ' OESCRfF'T101+R 'r ,"s fAi rA a= RATES t # EXTENSION s TAX TOTAL <br /> 23.65 TONS Cover Class I I Ton <br /> I <br /> IGHMASTER CERTIFICATE THIS IS TO CERTIFY That fhe follouving described commodity was weighed measured or counted by a weighmaster 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 Divlsion of Measurement Standards of the California Department of Food and Agriculture <br /> MANIFEST # 721104 NET AMOUNT <br /> TRUCK # 3W36964 <br /> TENDERED <br /> Schedule 24 hours an advance directly with the landfill . CHANGE <br />' <br /> Call (209 )982-4298 to schedule. <br /> Drive Saf e l y I I CHECK NO <br />' DRIVEL'S SIGNATURE <br /> I <br /> I <br /> f <br />