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FORWARD SITE TICKET GRID <br /> 4a <br /> I N C 0 R P 0 R A T L D 01 1 186171 1 D-99 <br /> 9999 South Austin Road/WEIGHING LOCATWEIGHMASTERION P O Box 6336 V, PONCEManteca, CA 95336 Stocklon, CA 95206 <br /> Landfill (209) 982 4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> Resource Recovery (209) 982 4936 Fax (209) 465-0631 05/03/00 10:22 <br /> 945400 DATE OUT TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL 05/03/00 10:23 <br /> BILL LITTLE VEHICLE ROLL OFF <br /> 4005 N. WILSON WAY CON 1908 <br /> STOCKTON CA 95205-2486 REFERENCE I ORIGIN <br /> 45400 f HAN KHAN <br /> Scale 2 Gross Weight 78020 LB Inbound - Charge ticket <br /> Stored Tare Weight 29940 LB <br /> Net Weight 48080 LB <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 24.04 ONS Class II Soil by Ton <br /> l <br /> WEIGHMASTER CERTIFICATE THIS IS 10 CERTIFY That the following described commocJ4 was weighed measured or counted by a weighmosteT whose signature Is <br /> on this cerfdicote who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> and Professnns Code administered by the Division of Measurement Standards of the CaHornla Department of Food and Agriculture <br /> MANIFEST # 35858 NET AMOUNT <br /> TRUCK' # JCONRAD <br /> P.O. # NONE TENDERED <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209 )982-4298 to schedule. <br /> Drive Safely ' ' <br /> CHECK NO <br /> �4M recycled paper <br /> DRIVER S SIGNATURE <br />