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.FORWARD SCfE' � � M TICKET � x . 1 GRID <br /> INCORPORATED e� <br /> 1 2;x'71.39 <br /> F9 South Austin Road/WEIGHING LOCATION P O Box 6336 R f` ' r"'r"'k WEIGHMASTER3" 14,1,'h <br /> n a, CA 95336 Stockton, CA 95206 AI a A C <br /> an 209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 , rk" % DATE IN TIME Ib <br /> es Recovery (209)982-4936 Fax (209) 465-0631 j ne 2003 n 51� am <br />' 00,19565 A': DATEC3UT h ^^ '-rr' t n a Tll OUT <br /> ADVANCED GEO ENV I RONMF_i' I AI_ 5 June 2003 3:513 atm <br /> PAUL DOTSON 3 E�Y � t1EHICL Er ��� � xr, ° :ROLL OFF ' <br />' <br /> 837 SHAW EGAD <br /> r '%FERE <br /> Contract: 5365# TRACY <br />' 00 Gross Weight 78, 140.c10 LES lnboond -- SCAILE TICS-,ET <br /> Stored Tare Weight 29,9eo .00 LS <br /> Net 160.00 IB <br /> .QTY s UNIT t D RIF'TI 1 *' r = , TE EXTBNSK3At " , TRX TOTAL <br /> 24. 08 TN b ST4Ck " I LE <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> Is coMeate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California 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 /> MP'iN 1 F EST #221:x'-':31 <br /> / CHANGE <br /> j! <br /> I CHECK NO <br /> DRIVER'S SIGNATURE V <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 /> is true and accurate. <br /> DISPOSE OTHER <br /> e <br /> ❑SOIL <br /> I EMARKS <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> I SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑wooD <br /> U ASH <br /> ❑SPECIAL OTHER <br /> SCH ULING MUST BE MADE PRIORTO3 GOP M.THE DAY PRIOR TO 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# 2 2 0 7 �? 1 <br />