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FORWARD <br /> SITE TICKETR Gla <br /> INCORPORATED CORPORATPD IO97 <br /> s oath AtlStln Rodd/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> nteca,CA 95336 . Stockton,CA 95206 LL . <br /> -cr I: (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE IN TIME IN <br /> -atjce Recovery: (209)982-4936 Fax:(209)465-0631 <br /> 3721 DATE OUT TIME OUT <br /> HORIZON ENVIRONMENTAL . <br /> KEN MATE I K VEHICLE ROLL OFF <br /> 01-1 HOLDEN FOOTHILL PKWY " <br /> EL DORADO HILLS CA 95762 REFERENCE ORIGIN <br /> 7 721 F MER DISCOVERY CHEV <br /> Scale 1 Gross Weight 82600 LB Inbound - Charge ticket <br /> Scale 1 Tare Weight 32800 LB <br /> Net Weight 49800 LB <br /> QTY. UNIT- DESCRIPTION - RATE EXTENSION TAX TOTAL <br /> 24.90 N ass o 1 y Ion <br /> C= TE *HIS IF456ff48A3qhat the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is NET AMOUNT <br /> Sq� w is a reoog ' f accuracy.as prescribed by Chapter 7(commencing with Section 12700)of Division S of the Californio Business <br /> �Io i administer ivisan of Measurement Standards of the California Department of Food and Agriculture. <br /> ` TENDERED <br /> TRAILER # r IVL9693 <br /> Schedule 24- hours in advance directly with the landfill. CHANGE <br /> all (209)982-4e98 to schedule. <br /> Drive Safely ! ! , CHECK NO. <br /> A recycled pac= <br /> ` DRIVER'S SIGNATURE i11 <br /> i i <br />