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FORWARD '--SITF VCK <br /> �+ .INCORPORATED c37626 <br /> f9 South Austin Road/WEIGHING LOCATION R O Box 6336 dti k JnFir.PuASTF-PIF, <br /> %La, CA 95336 Stockton, CA 95206 I C C OR I A <br /> a (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 • TtO,` ,, ,4 TE IN. } TIME IN <br /> elso Recovery (209)982-4936 Fax (209)465-0634 ;# JLtne 200 3:29 PM <br /> ()Q321 ,5 <br /> �ilD�vi=t C1 ��1=� ENVIRONMENTAL- 7 IDATe00-r^i r f . ur r.s TIME OUT <br /> "fune 2003 -2 }gym <br /> PAUL DOTSON ��H>cl E c y �" q a , , I ; � ' moLL OFA <br /> 837 SHAW ROAD � EVORE 48 <br /> STOCKTON, CA 95215 REFEREt NCE z- - ' ORIGIN <br /> Contract : 33c,5# TR.AC) <br /> 00 Cross We L qft t 74,7o,).oO LIQ Inbound — SCALE T I CE ET <br /> Stored ram rz- weight 31 .520.UCLR <br /> Net Weight 43, s80.00 I_8 21 .59 TN <br /> CITY; UNIT r Dt SCRI b-,+y� y 41 i OC_MNS 6ON ' TAX,, } TOTAL <br /> ci , 5c� 7 N J6 STOCV ILE- <br /> I <br /> I <br /> EIGHMASTER CERTIFICATE THIS 6 TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature fs <br /> his certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 72700)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 /> 10 TENDERED <br /> MANIFEST #r'�i3':�.„ <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SI&ATURE <br /> I <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 DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> IDISPOSE OTHER <br /> REMARKS ❑ SOIL <br /> ❑ CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OFAUT © DAGENT DATE= <br /> WOOD <br /> SPECIAL OTHER <br /> SCHEDULING MUST,B MADE PRIORTO 3 00 P M THE DAY PRlORTO PECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPORRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY MANIFEST#2 t3 GU j 0 '7 4 0 <br /> � 0C <br />