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vnacr•.rr mijiv L4:zu rPl:1 Gu:r loo lUor rumntixv 1:1t.. L00(1 <br />FORWARD <br />I N C 0 R P 0 R A T E D <br />999 South Austin Road/w€ cH'_„rG LOCATION P.O. BOX 6336 <br />4anteca, CA 95336 '' Stockton, CA 95206 <br />andfill: (209) 982.4298 ,/ WEIGHING LOCATION Main Office: (209) 466-4482 <br />esource Recovery: (209) 982.4936 Fax: (209) 465-4631 <br />I:-- <br />39442 1 <br />. CIA M11.LL2 ' <br />771195c51140092036700031231195 <br />2000 CHOW CANYON PLACE-xSTE 400 <br />SAN RAMON CA 94533 <br />il <br />SITE <br />TICKET <br />GRID <br />'A <br />v <br />WEIGHMASTER <br />(�-''+` ('� L r <br />C CARBA-'.. AL <br />DATE 1N <br />TIME IN <br />DATE OUT <br />TIME OUT <br />f_6 /Os !9", <br />! i. 4; <br />VEHICLE I ROLL OFF REFEnENCE ORIGIN <br />EVANS 19-150 394421 VARIOUS' LOCATIONS <br />Scale Gross Weight 67520 LB Imb,_,Lnd - Charge ticket <br />Scale 2 Tal -2 Weight 31740 LR <br />Net Weight 35780 Lb <br />Qom' _ DESCRIPTION AMOUNT <br />17.89 Cover Class It Ton per TONS <br />WEIGHMASMR CERTIFICATE THIS S TO CERTIFY That the lWowing described commodity was weighed, measured, or countea by o weighmcster, whose <br />sigrmto Is on this certificate, who u a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Secton 12700) of Division 5 of <br />the CoRamie Bu mess and Professions Code, administered by the E-Mlon of Measurement Standords of the California Department of Food and Agriculture, <br />MAN I FEST 4 610391 i <br />TRUCE: 3E769ot) <br />7711952 ;1,14(DO920367(. 0)01251 195 <br />TPA I LEFT # I V79833 <br />SchedLlle 24 hour -s in advance directly with <br />L, y I (� OI( -)1102-4295 r:Ct S II(-�lii.L. <br />`)'r i V--. S I v 1 : <br />DRIVER'S SIGNATURE X <br />the land -Fill. <br />NET AMOUNT <br />I TENDERED <br />I CHANGE <br />recycled paper <br />P03-C857LT <br />4.. I' til. •5ra h i lx.� �f r' Ilr <br />;•'A i <br />:.rl« <br />:r <br />1•• <br />•: i:::� Vii'. <br />y.. <br />IA ' <br />'. 1': rylrt •.•!1. ��l ".:' nAt1a''� iii:. <br />t•.�c'�•'i'• t•:1t ���i• ra • t. <br />.e <br />l'. <br />• r.: 4 <br />it <br />al ,s•y <br />-yi <br />+'Y• <br />r�•Ar• ,r'n <br />