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L-9 <br /> FORWARD SITE TICKET•= GRID <br /> INCORPORATED 02 10c?7640 <br /> '9 South Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> r-ca, CA 95336 Stockton,CA 95206 T. <br /> A h(209) 982-4298/WEIGHING LOCATION Main Office:(209)466-4482 DATE.IN TIME IN <br /> -a..dce Recovery:(209)982-4936 Fax:(209)465-0631 <br /> 736721' <br /> HQRIZON,ENVIRONMENTAL DATE OUT TIME OUT <br /> , <br /> 55 <br /> KEN MATEIK VEHICLE ROLLOFF <br /> '-5011 GOLDEN FOOTHILL PKWY - #fi" ' LL 4 <br /> EL D©RADO HILLS CA 95762 REFERENCE --- - ORIGIN <br /> 7 721 F MER DISCOVERY CHEV <br /> Scale 1 Gross Weight 80600 LB inbound - Charge ticket <br /> Scale 1 Tare Weight 3e740 LB <br /> Net Weight 47860 LB <br /> QTY• t1NlT bESCRIPTkON RATE EXTENSION TAX TOTAL <br /> 23.93 TONS C ass 11 Soily Ton <br /> TE#HIS 16®j6M)C)rhot the following described commodity was weighed,measured,or counted by a welghmoster,whose signature is NET AMOUNT <br /> wl is a recogpf accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> administer ivtsion of Measurement Standards of the California Department of Food and Agriculture. <br /> TRAILER # 1VL9693 TENDERED <br /> ,,Schedule e4 hours in advance directly with the landfill . CHANGE <br /> Call (209)982-4298 to schedule. <br /> Drive Safely ! ! <br /> CHECK NO. <br /> Ir _ <br /> C 4M recycled paps <br /> - DRIVER'S SIGNATURE i, <br /> a. <br /> a.. <br /> v <br />