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FORWARD <br />' �►� INCORPORATED �str }Tacl«T i*, s,„ t tf� . , r�gro <br /> 4 A 2369 <br /> 1999 South Austin Road/wEiGHING LOCATION P O Box 6336 '` '' ` e ,� �, , - WEIGHMASTER . <br /> nteca,CA 95336 Stockton,CA 95206 PS <br /> d209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482Te 1t3 ��r Mme; -TIME IN, <br /> es Recovery (209)982-4936 Fax (209) 465-0631 , c�f�# 3 Dry r ,� ,TIME GUT <br /> +£?VF1rfi.l=t� I�Ff N�.' LRO"J#�'11=t T(-1L 2'-.,(?3 1 :2`i pm <br /> PAUL DOTSON <br /> 133 SHAW Rt7AL� ICyE,a,r STOCI TOt+I, CA ��;215 * <br /> �, � ^f ', Uc�FItGrN <br /> Contract ., 3,365# T"RAC Y <br />' Grass Weight 7e,3613.00 LES SCALE i ICF E" <br /> Stored i-a1-e Wea.yht iS. lrtc3,.t,c7 L8 <br /> Ne' Weight 49,aeo.00 LB 24.6 5, TN <br /> L�TY <br /> UNtTt. E1>;SCNI G1 , 'RATE Z Ell�fStQi�f S -TAX'- <br /> 2 <br /> AX'- TCJTAL <br /> ?4. 6P TN 6 STOC:,P E - <br /> IGHMASfER CERTIFICATE THIS IS To CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br />�this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> rofessians Code administered by the Division of Measurement Standards of the California Department of Food and Agrlculture <br /> -1 eN AMOUNT <br /> MANTFEST TENDEFIED <br /> CHANGE <br /> ` <br /> -CHECK NO <br /> DRIVER'S SIGNATURE j <br /> C <br /> f t <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 /> is true and accurate <br /> DISPOSE OTHER <br /> ❑ SOIL <br /> EMARKS ©CONSTRUCTION <br /> DEBRIS <br /> AGILITY TICKET NU 0 NON-FRIABLE <br /> ASBESTOS <br /> SIGNATUR OF UTHOR7- = <br /> DATE U WOOD <br /> ❑ASH <br /> IIII - IL ❑SPECIAL OTHER <br /> EDULING MOST BE MADE]PRIORTO 3 Oa P M THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> 3 REFUSAL ON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THEM LANDFILL <br /> FEST #THE DAY BEFORE <br /> SALES COPY 0 7 <br />