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I -1� FORWARDr SITE TICKET 'GRID <br /> �+ INCORPORATED <br /> 9 South Austin koad/WEIGHING LOCATION P O Bax 6336 WEIGHMASTER <br /> t CA 95336 Stockton, CA 95206 <br /> in209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 , DATE=IN _ TIME IN <br /> esa Recovery (209) 982-4936 Fax (209) 465-0631 <br /> DATE OUT a TIME OUT <br /> -1 t Ir <br /> VEHICLE w ROLL OFF _ <br /> REFERENCE ORIGIN <br /> _ r <br /> OTY UNIT DESCRIPTION 'RATE EXTENSION TAX TOTAL <br /> I �1 <br />'IGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> his certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Callfornta Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> SV _ <br /> CHANGE <br /> I <br /> CHECK NO <br /> 2r , <br /> DRIVER'S SIGNATURE <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> I is true and accurate <br /> DISPOSE OTHER <br /> U SOIL <br /> REMARKS <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> ' ASBESTOS <br /> I <br /> SIG NATURE­OFAUTHORIZEDAGENT DATE <br /> ❑WOOD <br /> f <br /> 1 r U ASH <br /> RC1 SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRI T03 00 P M THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY MANIFEST#�x i T "V, <br />