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FORWARD SITE TICKET GRID <br /> INCORPORATED c)1 186150 1 D--99 <br /> 9999 South Austin Road/WEIGHING LOCATION P 0 Box 6336 WEIGHMASTER <br /> Manteca, CA 95336 Stockton, CA 95206 V. PONCE <br /> Landfill (109) 982 4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> Resource Recovery (209) 992-4936 Fax (209) 465 0631 05/j)0/00 C)9:5(-.) <br /> 9454o(-1 DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL U5/(=)G/00 10: 1 B <br /> BILL L T TTL E VEHICLE ROLL OFF <br /> 4(-)1-)5 N. WILSON WAY CONTIit <br /> S FOCI TON CA L?1-52(-15--2406 REFERENCE ORIGIN <br /> 45400 krHAN 1 HAN <br /> Swale 1 Gross Weight 8604(-1 LB Inbound - Charge ticlet <br /> Manual Tare height 2191(-)() LB <br /> Net l-eight 57940 LD <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL. <br /> 28. 97 TONS 11lass II Soil by Ton <br /> I <br /> I <br /> f <br /> WEIGHMASTER CERTIFICATE THIS iS TO CERTIFY That the following described commodity was weighed measured or counted by a weighma5ter whose signature 15 <br /> on this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business I <br /> and Professions Code administered by the Division of Measurement Standards of the Coliform Department of Food and Agriculture <br /> 35857 <br /> MANIFEST ## NET AMOUNT <br /> TRUCE ## 4 ()516 r <br /> F .O. ## NONE TENDERED I <br /> Schedl-i 24 hours in ted,. ance d] rec-tIV L•Jlth the landfill . CHANGE <br /> Cal-I (209 -982- 42 ?G to schedii <br /> Drive "self e I V I I CHECK NQ <br /> A recycled paper <br /> DRIVER'S SIGNATURE <br /> - <br />