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i <br /> FORWARD SITE TICKET GRID <br /> INCORPORATED 01 186242 D--99 <br /> s <br /> 9999 South Austin Rnad/wi IGHING t ocnTloN Y O Box 6336 WEIGHMASTER <br /> Manteca, CA 95 136 Stockton, CA 95206 V• F ONCE <br /> Landfill (209) 982 4298/WEIGHING LOCATION Main Office (209) 466-4462 DATE IN TIME IN <br /> Resource Recovery (209) 982 4936 Fax (209) 465-0631 (_5/f Q/111 j 12:34 <br /> 94.j'i t_iiC, DATE OUT TIME OUT <br /> ADVANCED GELD ENV I RONtIEN'CAL u5/03/0o 13.o6 <br /> E I LL_ LITTLE r VEHICLE ROLL OFF <br /> lI ol:)5 N. WILSON WAY QOUJI Qq <br /> STOCf TON CA 95)2{15--2486 REFERENCE ORIGIN <br /> Q45400 L` IAN f'HAN <br /> 3c�rile 1 Gr-)ss Weight 051.180 LI"3 In(- OLlnd — Charge t icl et <br /> Flan e_Ia l Tai e Weight 28020 LB <br /> Net Weight 57461:1 L8 <br /> CITY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 28. 73 rONS ,l ass J1 Soil by Ton <br /> I <br /> i <br /> MASTEft CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is <br /> I <br /> [oInthis cerNicaiewho is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> rofessions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> MANIFEST # 35065 <br /> TRUCE # 4Y05160 <br /> F .O. # NONE TENDERED <br /> SchedLtle 24 hLiurs in advance directly with the landfill . CHANGE <br /> Cal 1 (P09 )982--4390 t0 schedule. <br /> Drive S,--tfe l y I I CHECK NO <br /> recycled paper <br /> DRIVERS SIGNATURE <br /> I <br />