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I <br /> FORWARD SITE TICKET GRID <br /> INCORPORATED t-)1 186153 1 17-99 <br /> 9999 South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> Manteca, CA 95336 Stockton, CA 95206 J• PONCE <br /> Landfill (209) 982 4298/WEIGHING LOCATION Main Office (209) 466 4482 1 DATE IN TIME IN <br /> Resource Recovery (209) 982 4936 Fax (209) 465-0631 05/03/00 09:36 <br /> 94-54 DATE OUT TIME OUT <br /> ADV INCE-D CEO ENVIRONMENTAL 05 /(--)3/(')(-) 09:54 <br /> #a I LL L I r 1 LE VEHICLE ROLL OFF <br /> ri(205J N. WILSON WAl LUND L2 <br /> STOC# TON CA 5205-24.36 REFERENCEORIGIN � <br /> qs f54i 1T) # 1; # HAN <br /> Scale 2 Gro-:5s Weight 82c'2(-3 LLQ Inbound - Charge tic( et <br /> Manual rarf--, Weight 292(-)o L.I.' <br /> Net We T qh t 53720 LB <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> F-16.86 TONS Class J1 Soil by Ton <br /> WEIGHMA5TER CERTIFICATE THIS IS TO CFRTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is � <br /> on this cerliflcale who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business 1 <br /> and Professions Code adminislered by the Division of Measurement Standards of the CaVornla Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIF=EGT ## 05PE336 <br /> TRUCE ## 6A 7O5 3') <br /> F .O. ## NONE TENDERED <br /> TF;A I LEFT #1' 1 WH861 i <br /> Schedule 24 hOL11-5 in advance dir ctIV with the la Y 1 CHANGE <br /> CaLl (C_Clq '982 -4298 to schedule. <br /> Dr1Ve Safe I" 1 I CHECK NO <br /> i <br /> t ' <br /> A•recycled paper <br /> DRIVER'S SIGNATURE �a r <br />