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FORWARD <br /> 4�b I N C O R P O R A T E D I <br /> _ Ito <br /> 199 South Austin ROad/W€IGHING LOCATION P O Box 6336 r`� a WEJ;HMAS"1TEFt l + <br /> #na,,(2C A 95 X36 Stockton, CA 95206 <br /> a19) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 -f' {•7%a" °'DATE INC ; t r , TIME IN <br /> leRecovery (209) 982-4936 Fax (209) 465-0631 June' 6,6 ,=„ Pm <br /> ADVANCED GED ENVIRONMENTAL 4+ June Ef7ATEOUT ,r= � r , TIME OUT <br /> Pan <br /> PAUL. DOTSON - zr �y <br /> 837 SHAW ROAD' � 'FiEf=EFt <br /> wirfim STOCKTON, CA 952 f a � <br /> EiYCl: <br /> Contract; 3365# TRACY <br /> Gross Weight 76, 940.00 LP Inb:,(jnd - SCALE TICkET <br /> Stored Tare Weight 28,9E30.00 LB <br /> Net Weight 47,960.00 LB 231.99 TN <br /> © CIS IOt E z i #iA E7ISIORf = TAX t TOTAL <br /> 23.98 TN 16 STGCk LE <br /> � 1 <br />'EIGHMASTER CERTIFICATE THIS 6 TO CERTIFY That the following descnbed commodity was weighed measured or counted by a weighmaster whose signature Is <br /> is certificate who ia recogrvzed authority of accuracy as prescribed by Chapter 7(commending Hnth Sectton 12700)of DIVIsion 5 of the Caldornia Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> „NET:AMOUNT <br /> MAN I I"ES 1 #22074a TENDERED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> —751 <br /> CUBIC YARDS <br /> I hereby certify that the above named materia[ 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 0 SOIL <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> I SIGNATURE OF AUTHORIZED AGENT DAIJE <br /> Q WOOD <br /> ❑ASH <br /> I * / ❑SPECIAL OTHER <br /> SCHEDULING MU BE MADE PRIORTO 3 00 P M THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIV4L ONDOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY MANIFEST#2 2 0 7 it 2 <br />