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FORWARD SITE <br /> ;r <br /> ,wV N C O R P ORATED s re �,racr<E r W r 3 ,., ,GRlD x J '• <br /> 1-1 i.}Zf <br /> 199 South Austin Road/wrIGHING LOCATION P O Box 6336 ``" ' ' ' 7-7 <br /> C wEfG�IMAST f# <br /> N60,CA 95336 Stockton, CA 95206 y <br /> a {209) 952-4298/WEIGHING LOCATION Main Office (209) 466-4482 1,` ' ' BATE fw- " t <br /> fes Recovery (209) 982-4936 Fax (209) 465-0631 - une f,)O Q <br />' 002365002365ISM <br /> ADVANCED SEG ENVIRONMENTAL IR�}f�lMENTAL � � - f DATE o E ,,� �, i, TIME OUT = <br /> FAUL DOTSOlrf fine Uta r tTk <br />' SS7 SI-IAW ROAD 1 '; VEHII-V ;�, ar.IcaF <br /> STOCKTON, CA 95215 gEFEcaENCES Y�. <br /> Contract: 3365# a 'ORIGIN <br /> TRHC+I <br />' 00 Gross Welght St:t,020.00 LE Inbound - SCALE TICKET <br /> Stored Tare Weight 29,980-00 LS <br /> Net Weight 50,040.00 LS 25.02 TN <br /> '111s11T . . SC131F714 ; "` y "s F64r , EXTEIV 1QE•! , TAX TOTAL <br /> 25.02 TN ib STO FILE <br /> EIGHNIASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature is <br /> Wits certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Droision 5 of the California Business <br /> Professions Code administered by the DlvAslon of Measurement Standards of the California Department of Food and Agriculture <br /> NrrT'AINOUNT <br /> MANIFEST #tet-0"'f,39 TENDERED <br />' CHANGE <br /> CHECKNO <br /> DRIVER'S SIGNATURE <br /> t CUBIC YARDS <br />' I hereby certify that the above named material has been _a <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 />' REMARKS ❑ SOIL <br /> 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> ' ASBESTOS <br />' SIGNATURE OFAUTHORIZ /'CENT DATE <br /> ❑WOOD <br /> SH <br /> (( <br /> 3P�IAL OTHER <br /> I <br /> SCHEDULING NkbVt BE MADE PRIOR TO 3 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. 4 <br /> I SALES COPY MANIFEST# "� ' <br /> 2207 '39 <br />