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,,.. <br /> FORWARD . <br /> INCORPORATED SITE TICKET GRID <br /> 1 097588 _ <br /> 9 South Austin Road/WEIGHING LOCATION P.O. Box 6336 wEIGHMASTER <br /> if^ a,CA 95336 Stockton,CA 95206 <br /> r, I: (209)982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE IN TIME IN <br /> -L.ce Recovery:(209)982-4936 Fax:(2D9)4b5-0631 <br /> 736721 <br /> HOR I ZQN ENVIRONMENTAL DATE OUT TIME OUT <br /> IGEN MATE I K <br /> s cfj <br /> 605011 GOLDEN FOOTHILL PKWY - #7*- VEHICLE ROLL OFF <br /> EL DORADO HILLS CA 95762 REFERENCE ORIGIN <br /> 7 6721 F RMER DISCOVERY CHEV <br /> Scale 1 Gross Weight - 81660 LB Inbound -- Charge ticket <br /> Scale i Tare Weight 33980 LB <br /> Net Weight 47680 LB <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 23.84 T NS G ass 11 Soil-by Ton <br /> V <br /> i.r <br /> NMFFM4TE #HIS 1$�OWBehat the following described commodity was weighed,measured,or counted by a weighmoster,whose signature is NET AMOUNT <br /> M%Xdcminisil <br /> s recog ' r1�pQf accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> o N�si3n of Measurement Standards of the Califomia Department of Food and Agriculture. <br /> TENDERED <br /> TRAILER # 1VLz416 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> Call (209)982-4298 to schedule. <br /> Drive Self e 1 y ! ! CHECK NO. <br /> a DRIVER'S SIGNATURE iA�recycled par: <br /> +6- <br />