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FORWARD SITE TICKET <br /> INCORPORATED GRID <br /> 99 South Austin RGad/wEIGHING LOCATION P.O. Box 6336 HOWEEWEIGHIMASTER <br /> .i-`eca,CA 95336 Stockton,CA 95206 <br /> rill:(209) 982-4298/WEIGHING LOCATION Main Office:(209)466-4482 DATE IN TIME IN <br /> ,q-arce Recovery:(209) 982-4936 Fax:(209) 465-0631 DES 07 <br /> 736721 <br /> DATE OUT TIM OUT <br /> HORIZON ENVIRONMENTAL OB72077B V0 <br /> &.a KEN MATEIK ti VEHICLE ROLL OFF <br /> 5011 GOLDEN FOOTHILL PKWY - #7"' <br /> EL DORADO HILLS CA 95762 REFERENCE ORIGIN <br /> 736721 F RMER DISCOVERY CHEV <br /> Scale 1 Gross Weight 84160 LH Inbound - Charge ticket <br /> Scale 1 Tare Weight 32920 LB <br /> Net Weight 51240 LB <br /> CITY. UNIT" DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 25.62 ILM5 Class II Soily on <br /> 4TE #HIS ISg&t hat the following described commodity was weighed,measured,or counted by a weighmoster,whose signature is NET AMOUNT <br /> �s w*is a recog ' utu.of accuracy,as prescribed by Chapter 7(Commencing with Section 12700)of Division 5 of the California Business <br /> Pr ssi s Co a administefvio of Measurement Standards of the Cafifomta Department of Food and Agrjculture. <br /> TENDERED <br /> TRAILER # 1VL9693 <br /> .. Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209)982-4298 to schedule. <br /> Drive Safely ! ! CHEc <br /> 4111 recycled par. <br /> DRIVER'S SIGNATURE to <br /> V <br /> V <br /> it <br /> it <br />