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i x FORWARD <br /> I N C O R rPORATED 'SI E, r�'s�TICKET r k . *�,-Y Pa GRI[ . <br /> 9 South Austin Road/WEIGHING LOCATE?N P O Box 6336 a'i='�¢t' ' ^w"= uEFtEEGHMASTE94 . , <br /> Ent ca, CA 9A336 Stockton, CA 95206 { <br /> 209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 -°s 4 » *1;� -'•-DATE IN <br /> tes Recovery (209) 982-4936 Fax (209) 465-0631 y _I En 0 x {+:erg P MTIME IN <br /> 003365 <br /> ADVANCED GED ENVIRONMENTAL �' DATE°Dr ' " °` i TIME Olrr <br /> PAUL DOTSON une 20�-�� ;t.Lf PM <br />' 837 SHAW ROAD � VEHICLE- , T ROLL OFF <br /> W�NN W54STEIC#;TON, CA95�`� 5 REFER C L ORIGIN f <br /> Contract: 3365# TRACY <br />' 00 Gr OSS Weight 7e,460.00 LB Inbound — SCALE TICVET <br /> Stored Tare Weight 28.460.00 LB <br /> Net Weight 50,000.00 LS 85oi=o TN <br /> 1-42TY UNIT <br /> ` = D I3IPFICSN v, . . „ x R T <br /> TOTAL 4 <br /> 25.00 TIMI 16 STOCI,, 1LE <br /> r <br /> 1 <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature Is <br /> is certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Secton 12700)of Division 5 of the California Business <br /> Professions Code administered by the Division of Measurement Standards of the Catifcmla Department of Food and Agriculture <br /> NET-AMOUNT <br /> MANIFEST # Er738 <br /> f'I <br /> gCHECKNO <br /> DRIVER'S SIGNATURE IIAY <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 /> EMARKS ❑SOIL <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBERDEBRIS <br /> 4 ❑ NON-FRIABLE <br /> r ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT <br /> ❑WOOD <br /> ❑ASH <br /> ❑SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 3 00 P M THE DAY PRII EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARTVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPY MANIFEST# _7 <br />