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FORWARD <br /> 4b INCORPORATED SITE PICKET GRID <br /> g99 South AwAwlroad/WEIGHING LOCATION P Q Box 6336 WEIGHMASTER <br /> nt ca, CA 95336 Stockton, CA 95206 <br /> art209) 982-4798/WEIGHING LOCATION Main Office (209) 466-4482 <br /> Zes Recovery (409) 982-4936 DATE IN TIME 1N <br />' .. _ r Fax (209) 465-0637 �. � <br /> 1 _ , DATE OUT r TIME OUT <br /> VEHICLE ROLL.OFF <br /> r REFERENCE, ORIGIN` <br /> r <br /> QTY UNIT DESCRIPTION <br /> RATE ' EXTENSION, " TAX TOTAL <br /> G <br /> L <br /> 1 <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose Signature 11 <br /> t1sl <br /> certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section T2700)of Division 5 of the California Businessofessions Cade administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> A <br /> DRIVER'S SIGNATURE <br /> I <br /> CUBIC YARDS <br /> II 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 /> IDISPOSE OTHER <br /> REMARKS ❑ SOIL <br />' ❑ CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ' ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD <br /> Ll ASH <br /> Q SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3 GO P M THE DAY PRIORTO 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# <br />