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FORWARD I y w "FICKET I GRID <br /> �+b <br /> INCORPORATED <br /> 01 191129 p_qg <br /> 9 $oath Au$tln Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> CA 95336 Stockton, CA 95206 V• PONCE p <br /> an Qg} 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 ol?;34 <br /> 9520oo 1w J " ' DATE OUT t- ITIME OUT <br /> ADVANCED GEC ENVIRONMENTAL OO/25/00 09:35 <br />' Et I LL LITTLE "" "" " -VEHICLE a r,1 a + h, , ROLL OFF <br /> 4005 N WILSON WAY CONTI 48 <br /> STOCf,'TON CA 95205 REFERENCE _ 1 <br /> 1 ORIGIN <br /> .52000 ED KHAN <br /> Scale 2 Gross Weialht 76460 LO Inbound - Charge ticket <br /> Stored Tare Weight 28300 LB <br /> Net Weight 48160 LL <br /> CITY '.-,UNIT, � ; _# � = � ; s DESCRIPPOW i I�V; RATE' EXTENSION TAX TOTAL- <br /> F4 .08 <br /> OTAL24 .08 TONS Cover Class II Tan <br />[ItIGKMASTER CERTIFICATE THIS IS TO CERTIFY That the following 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 SectFon 12700)of Division S of the Califomia Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> MANIFEST # 721 1 OB NET AMOUNT <br />' 10TRUCK # SP41646 <br /> TENDERED <br />' Schedule 24 hours an advance directly with the landfill , CHANGE <br /> Ca 11 (209 )982--4298 to schedule. <br /> Drive- Safely ' ' CHECK NO <br /> DRIVER'S SIGNATURE <br /> I <br /> I <br /> • <br /> I <br />