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1� FORWARD <br /> �+ INCORPORATED 5th + ` � `I"•TtctcEl GRID <br />� <br /> IJ <br /> 9 South Dustin Road/WEIGHING LOCATION P O Box 6336 "`" `-t 4" UVE1GFfMASFSR . <br /> nteca,CA 95336 Stockton,CA 95206 <br /> 209) 982-4298/WEIGHING LOCATION Main Office (209)466-4482 <br /> e Recovery (209) 982-49361" bAFF'JN r Y �#+, Y h1 TIME'IN - <br /> 00336S Fax (209) 465-0631 Line t tj3 t_ ; �Ti <br /> ADVANCEDrrEC� ENVIRONMENTAL <br /> ' I DAT -G3LtTx . .1, n S., ME:OCfT <br /> FAUL IJOTSON -� wt.ne Qt3 tj afn <br />' 837 SHAW ROAD <br /> STDCK TON, CA 95215 P t� <br /> C�n tT-a�ti. 3365# <br /> y<�r� �i:Fnrce,4 {r oFlrt=rnt ,Nt <br /> FRACY <br /> Gross W€lght 75,40t3.OU LB Inbound -- SCALE TICf'F- <br /> Stared Tare We I gh t 2li?,g80.00 LB <br /> Net Weight 45,420-00 LEI 22.71 TN <br /> ^s 410TY - 4I�)=SCiF { <br /> RATEi" �EXTEN=N "v'- TAS( ' rO'TA1. <br /> 22 .71 TN 16 STO FILE <br /> I <br /> I <br /> GHMASTER CERTfFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> rs cerhticate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> rofemons Code administered by the Divfsion of Measurement Standards of the California Department of Food and Agnculture <br /> NET AMOUNT <br /> MANIFEST #22= 729 TENDERED <br /> CHANGE <br /> CHECK NO <br /> \Y' I <br /> I DRIVER'S SIGNATURE ! <br /> 14 <br /> CUBIC YARDS <br /> II 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 /> is true and accurate. <br /> / DISPOSE OTHER <br /> IREMARKS ❑solL <br /> Q CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> Q NON-FRIABLE <br /> SIGNATURE OF AUTHORIZED AGENT __7 DATE ASBESTOS <br /> ❑WOOD <br /> --� f ❑ASH <br /> - -5-03 <br /> D SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3 00 P M.THE DAY PRIORTO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE SUBJECT <br /> I71O REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST OP BE SCHEDULED WITH THE M INDFIILL H E ©Y BEFORE, - <br />