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POTRERO HILLS LANDF L.i_, INC. <br /> waighed at: <br /> POTRERO HILLS LANDFILL, INC, <br /> P.O. Box 68 <br /> FAIRFIELD, CA 94533 <br /> Deputy: Janea Quinonaz <br /> Deposit: Janes Quinonez <br /> BILL TO: 1754 <br /> DILLARD ENVIRON. SERVICES <br /> Vehscle Uâ–º: <br /> Reference: <br /> Grid: 14 <br /> DriverOn?: N <br /> Route: 305 <br /> -1'RLR/LP1l: VP72603 ' <br /> Origin: BANTA <br /> DATE IN:. 07/05/2013 TIME IN: ,10:11:52 <br /> DATE OUT: 07/05/2013 TIME OUT: 11:19:20 <br /> INBOUND TICKET Number: 01-383977 <br /> SCALc 1 GROSS WT. 62120 LB <br /> SCALE 3 TARE WT. 44260 LB <br /> NET WEIGHT 17860 LB <br /> Qty Descrwlon Amount <br /> 8.93 Clean Dirti/Tun-ADC <br /> i:.._ <br /> WE1"ASTH.CERT#FICATE: <br /> THIS IS TO CERTIFY that the tollowing <br /> described cominodity was weighed, <br /> measured, or counted by a weighwaster. <br /> whose signature Is on this certificate. <br /> who is a recognized authority of <br /> accuracy, as prescribed by Chapter 7 <br /> (commencing with Section 12700) of <br /> Divi';ton 5 of GaliFarnia Business <br /> and Professions Code), administered by <br /> the DlYision of Measurement Standards <br /> of the'Val'ifornia Department of Food <br /> and Agriculture. <br /> (Deputy Signature) <br /> This Is to certify that this load.does <br /> not contain any hazardous materials. <br /> medical waste or liquids of any type. <br />