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FORWARD <br /> INCORPORATED SITE TICKET GRIP <br /> _ 1 097587 D-97 <br /> 1143outh Austin Road/WEIGHING LOCATION P.O. Boz 6336 WEIGHMASTER <br /> inteca,CA 95336 Stockton,CA 95206 J<. ROWELL <br /> '1f is(209) 9824248/WEIGHING LOCATION Main Office:(209) 466-4482DATE tN - TIME IN <br /> s('ce Recovery:(209) 982-4936 Fax:(209)465-0631 08 10 i0i <br /> 736721 DATE OUT TIME OUT <br /> HORIZON ENVIRONMENTAL47 08/20/98 <br /> KEN MATE I K VEHICLE •ROLL OFF <br /> —5011 GOLDEN FOOTHILL PKWY U11—L 7Y <br /> EL DORADO HILLS CA 95762 REFERENCE ORIGIN <br /> 7 721 FOrMER .DISCOVERY CHEV <br /> Scale 1 Gross Weight 79660 LB Inbound - Charge ticket <br /> Scale 1 Tare Weight 31660 LB <br /> Net Weight 48000 LB <br /> CITY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 24.00 T NS C ass II Soil by Ton <br /> 16. <br /> Y <br /> :I(. JhMfFRffS7FFE#HIS%&phot the following described commodity was weighed,measured,or counted by o weighmcster,whose signature is NET AMOUNT <br /> .tis a recog r)ty.pf accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> d#admrnister i n of Measurement Standards of the Califomic Department of Food and Agriculture, <br /> TENDERED <br /> TRAILER # IVX4871 <br /> Schedule 24 hours in advance directly with the landfill . CHANGE <br /> '-Call (209)98L-4298 to schedule. <br /> Drive Safely !!- CHECK NO. <br /> recycled pad <br /> DRIVER'S SIGNATURE <br /> r <br /> V <br /> i./ <br /> - <br />