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Fc <br /> k <br /> �+� FORWARD SITE Ttoktr e, �� GRID- <br /> INCORPORATED c 1 237o7l <br /> 99 South Aus?m Raad/WEIGHING LOCATION P O Box 6336fnt ca,CA 9533b Stockton, CA 95206 y ,r NCY <br /> a (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 "`4 r 'f)ATE�IN , ; TIME IN <br /> e Recovery (209) 982-4936 Fax (209) 465-0631 4 June Et tJ3 ;f"4 pfn <br /> t7O3S65 t .QAtE'OE3T Cs r �`n OUT <br /> ADVANCED GE€� ENVIRONMENTAL 4 June 2003 .54 pm <br /> PAUL DOTSON x � 3 t'. . v E � 0i . i, c , ROLL OFF <br /> 337 SHAW ROAD INN W55 _ <br /> STOCK TON, CA 95E 1 5 €3RiGIIV <br /> Cn-n trac t.: 3365# TRACY <br /> Gross Weight $S ,32t_1.00 L3 I�sl�,��and �- SCALE TICKET <br /> Stored Tare Weight 29,480.00 LB <br /> Net Weight 5.2 a 34t .00 L13 Eb. 4 TN <br /> ATY UNIT RATE w h(Ti4NSi(1N TALCFPIL^ <br /> 25. 17 TN 16 STOCK IpE t <br /> EIGHMA5iER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> this cerhficate 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 Agnculture <br /> NET AMOUNT <br /> TENQE:RED <br /> MANIFEST #22u`733 <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE A9 <br /> �r <br /> R <br /> a <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 /> IDISPOSE OTHER <br /> REMARKS ❑SOIL <br /> ( Q CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> I SIGNATURE OF AUTHORIZED AGENT DA E <br /> ❑WOOD <br /> 'r <br /> ❑ASH <br /> I ❑SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO •00 P 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# 220713 '3; <br /> 220713 <br />