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FORWARD { SITE TICKET ww GRID <br /> �b INCORPORATED 011 191124 D-99 <br /> I.0V'9 <br /> 9 South Austin Road/wEIGHING LOCATION P O Box 6336 k ' L ' "'=" WEIGHMASTER <br /> CA 95336 Stockton, CA 95206 - SRARKS <br /> do (Z09) 982-4x98 WEIGHING LOCATION Main Office (209) 466-4482. r ` DATE INf— ,^ F TIME:IN <br /> source Recovery (209)982-4936 Fax (209) 465-0631 05/25/00 09:28 <br /> 952000 `+ DATE OUT _ _ TIME OUT " <br /> ADVANCED GEO ENVIRONMENTAL 05/25/00 09.28 <br /> I BILL LITTLE - _ = r , m='� VEHICLE- -= ROLL OFF <br /> x 4005 N WILSON WAY LUND L1 <br /> STOCKTON CA 95205 •r.FIE1=ERENCE Y ORIGIN <br /> » 952000 ZEB KHAN <br /> Scale 1 Gross Weight . 76700 LB Inbound - Charge ticket <br /> Stored Tare Weight 30900 LB <br /> Net Weight 45800 LB <br /> QTY UNIT ' '' 4 ear —DESCRtF'RONx f=4�--='a ' IRATE: A tb s ,EXTENSION,' TAX r TOTAL <br /> 22.90 TONS Cover Class II Ton <br /> I <br /> EIG1iMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature is <br /> this cerfificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the C<Aforn a Business <br /> d Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIFEST # 721106 <br /> lie TRUCK # 5K71533 <br /> TENDERED <br /> I Schedule 24 hours in advance directly with th andfill . CHANGE <br /> Call (209)982-4298 to schedule. <br /> Dr 1 ve Sa f e l y I i CHECK NO <br /> DRIVER'S SIGNATURE <br /> I <br /> I <br /> 1 <br /> 1 <br />