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6 - <br /> t <br /> 1��0�ej FORWARD <br /> INCORPORATED ��� <br /> 9 South Austin Road/WEIGHING LOCATION P O Box 6336 rt �` 'Y "' WEIGHMASTEAY 1 Y : .f W t <br /> nt , CA 95336 Stockton, CA 95206 + <br /> ans 209) 982.4298/WEIGHING LOCATION Main Office (209) 466-4482 <br /> 'eso Recovery (209) 982-4936 Fax (209) 465-0631 _ ��"AATE a TIME IN <br /> Q03365 Line fal_> 4 ofn <br /> € DVANCED GEO ENV I RONMEN TAt_ "< �DATE,OUT IT -:f, WE OUT <br /> PAUL DOTSON -I Lane C;01 � : PM <br /> ' 837 SHAW ROAD V ICi yi°_ ROI.OFF <br /> STOCI TON, CA Q5215 <br /> Contract.. � r rREFE:FtE:NCE""< '-r,•• ,�•. • •..� iii OFi1GIN � <br /> t.. 33&5# TRAC`v <br /> Gl _ _ lJe gh 754S+:� 00 LB InboLind — SCALE T1CkET <br /> Stored Tare Weight _284"400-'00 LB <br /> Net; Weight 47,060.6 ) LD 23.54 YN <br /> `t,QTY�, , ,,, w <br /> UNFT^ i = TIE:SGftIR�'Td0 ,, (A S •4 � y RATE -. ENSION- �'S i T� ; <br /> TOTAL <br /> 23.5 TN 16 STOC 'ILE <br /> lE+GHMASTER CERTIFICATE THIS f3 TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose slgnature is <br /> fProfe-q <br /> Iserhficote who s a recognized authority of accuracy as Prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Calitoma Busyness <br /> ions Code administered by the Division of Measurement Standards of the Cafltornfa Department of Food and Agriculture <br /> ' NET AMOUNT <br /> MANIFEST #220 743 =TENDE:FiE:D <br /> CHANGE <br /> CHECKNO <br /> DRIVER'S SIGNATURE <br /> �� <br /> CUBIC YARDS <br /> hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> Is true and accurate DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> EMARKS Q SOIL <br /> Q CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> Q NO <br /> SIGNATURE,PF AUTHO AGENTDATE ASBESTOS <br /> Q WOOD <br /> ASH <br /> a <br /> Q SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3,00 P M THE DAY PRIORTO EXPECTED ARRIVAL a 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# 22 07 <br /> 4 30 — <br />