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�.r <br /> FORWARD <br /> +�►'b� I N C O R P O R A T SITE TICKET.. . GRIP <br /> E D O 097628 D-97 <br /> 49 South Austin Road/WMCHING LOCATION P.O. Box 6336 " . • • WEIGHMASTER - — <br /> ir'^ca,CA 95336 Stockton,CA 95206 T. GRAIMT <br /> 11 II:(209)982-4298/WEIGHING LOCATION Main Office:(209)466-4482 - DATE IN TIME AN- . . <br /> -(. .ce Recovery: (209) 982-4936 Fax: (209)465-0631 08/20/98 13:25 <br /> 736721 DATE OUT TIME OUT <br /> HORIZON ENVIRONMENTAL 08/20/98 13:36 <br /> f CEN MATE I K •• VEHICLE ROLL OFF <br /> 5011 GOLDEN FOOTHILL PKWY - 47 - BODINE IS <br /> EL- DORADO HILLS CA 95762 REFERENCE' ORIGIN <br /> 73 721 FO MER DISCOVERY CHEV <br /> Scale 1 Gross Weight - 77080 LB Inbound - Charge ticket <br /> Scale i Tare Weight 33780 LB <br /> Net Wei ht 43300 LB <br /> QTY. - - UNIT- DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 21 .65 TONS C ass II Soil by Ten <br /> G. <br /> _Ic6ARTE THIS I T T That the following described commodity was weighed,measured,or counted by a weighma5ter,whose signature is NET AMOUNT <br /> acog �•, of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> t r �s�'�od�administer a,i64n of Measurement Standards of the Califomia Department of Food and Agriculture. <br /> • . TENDERED <br /> TRAILER # 1VL2416 <br /> +_Schedule 24 hours in advance directly with the I df i 1 . CHANGE <br /> Call (209)982-4298 to schedule. <br /> Drive Safely ! ! CHECK NO. <br /> 4" recycled pad: <br /> DRIVER'S SIGNATURE <br /> V <br /> L <br />