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1 � FORWARD rSITE, " yrTIEKJrT � �F{I <br /> INCORPORATED <br /> s� 2569'7 <br /> 9 South Austtn Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTEFP'� - <br /> *Recovery <br /> CA 95336 Stockton, CA 95206 I CTE_R I A <br /> an209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 -� �M�^ ��"DATE'IN-W _ TIME IN <br />' s (209) 982-4936 Fax (209) 465-0631 4 ,�'r..np i-003 y ;5'7 €gym <br /> t7t 1? �+5 _ DATE- U7Al' ", '" r , TIME OUT <br /> ADVANCED GEO ENVIRONMENTAL IRON#MENTAL June at'10,- 2 ;S6 pin <br /> PAUL DOI SON M 4ERFCLE t " - 11 w TROLL OFF <br />' <br /> 837 SHAW ROAD WINN W56 <br /> STOCK TON 4 GA 95215 REF RENCE - g�WGIN <br /> Contract: 3265# TRACY <br />' 06 Gross Weight 77, 780.00 LE Inbound - SCALE TICF:ET <br /> Stored Tare Weight 213,4eO.00 LES <br /> Net Weight 49,30o.00 LF3 24.65 TN <br /> QTy . UNr$ TRATE I EXTENSION TAX TOTAL <br /> i <br /> 24. 65 TIS 16 STO' PILE <br /> cp <br /> GHMASTER CERTIFICAN THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature is <br /> ffhls certificate who 6 a recognized aufhorrty 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 Cafi#orna Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> MANIFEST #2,i)-7,+1 <br />' r CHANGI= <br /> CHECK IVO <br /> IDRIVER'S SIGNATURE lei VA <br /> T__L <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 /> I Is true and accurate. <br /> DISPOSE OTHER <br /> EMARKS ❑ SOIL <br /> ❑ CONSTRUCTION <br /> I FACILITY TICKET NUMBER N SKIS <br /> D NON-FRIABLi= <br /> SIGNATURE OFA THOR AG T DAT ASBESTOS <br /> i � OOD <br /> ASH <br /> ff <br /> I * r ❑ SPECIAII OTHER <br /> SCHEDULING MUST BE E PRIOR TO 3 W 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# 220741 <br />