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FORWARD SkTE TTe�I� <br /> �+ INCORPORATED GRID <br /> r <br /> 9South Austin Road/WEIGHING LOCATION P O Box 6336 ' `O"moi `:. " `'- A � WEJGHMASTE S— =4 > x a <br /> tea, CA 9533b Stockton, CA 95206 AANCV <br /> I'a209) 982-4298/WEIGHING LOCATION Main Once (209) 466-4482DATF IN - + TIME IN <br /> tes4W Recovery (209) 982-4936 Fax (209)465-0631 � 4 June 2t Ci 3 :25 Pm <br />' C*3365 <br /> QATt~QiH. „„`. 1,:– t ` TIME OUT <br /> ADVANCED UEO ENVIRONMENTAL 4 June Gr:�t�3 .25 lam <br /> F AUL DOTSON' - , V ICL.E>� � � +L � -AROLL OFF 837 SHAW ROAD INN W56 ^ <br /> STOCi TON, CA 95215 77-4REFERENCE s ia•,5 oRICEN ` a, <br /> Contract:, 3365# TRACY <br />' Gli c014S Weight 79,1720-00 LR Inbound - SCALE TICr.ET <br /> Stated Tare Weight 28,480-00 LB <br /> Net Weight 50,54C).00 LS 25.27 TN <br /> W1 Ys - .�s UNrr_. r .. x <br /> E%TENSION TAX TOTAL <br /> 25. 27 TN 16 STOIC ' I LE <br /> I <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a wefghmaster whose signature Is <br /> Ps certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Cafifornia Business <br /> Professions Code administered by the Divuion of Measurement Standards of the California Department of Food and Agriculture <br /> , NET AMQIlNT° <br /> r TENDEREDMANIFEST #2217 735 <br />' CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> Crt ►►►���jjj///jr �� f <br /> CUBIC YARDS <br /> 1 hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> Is true and accurate DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> WFtEM ❑SOIL <br /> CI CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE o <br /> SIGNATURE OF AUTHORIZED A ENT DATE ASBESTOS ' <br /> 1 Q WOOD <br /> D PECIAL OTHER <br /> SCHEDULING MUST{BE ADE PRIORTO 3 00 P M.THE DAY PRIORTO EXPEL`TED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> REFUSAL UPOWARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPY MANIFEST ^ <br /> # <br />