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Y <br /> Ips FORWARD <br /> SITES , m "TTCKET I GFIID, 3 <br /> INCORPORATED c, fj <br /> 9 South Austro Road/WEIGHING LOCATION P O Box 6336 ' f '" -1 ` ' " ' WEiGMMASTER - r <br /> CA 95336 Stockton, CA 95206 MANCY <br /> in09) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 ""'�"'' f ` DATE'IN - TIWE iN <br /> U*Ro Recovery (209) 982-4936 Fax (209)465-0631 June '-2003 . : 41.6 pin <br /> 003365 , ? d GATF5 OUT " - ` " u TIME OLIT <br /> ADVANCED GEO Er4V T RONP'IE NTAL 4 u-e e003 1 : 16 pm <br /> PAUL DOTSON n * VEHiCCE .Ff ROLL OFF <br />' <br /> 837 SHAW ROAD <br /> STOCF TON, CA X5215 aREsFERENCE ORIGIN <br /> Contract; 3365## T-TRACY <br /> Gross Weight 77,500.00 LP lnhound - SCALE T1CI:E7 <br /> Stored Tare Weight 26,4410.00 LS <br /> Net Weight 49, 100.00 LP 24.ES TSI <br /> 9QTY F EXTENSION t °TAX TOTAL <br /> 24.55 TN 16 STOCKP E <br /> I <br /> HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is <br /> is certificate who is a recognized authonty 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 California Department of Food and Agriculture <br /> NE"I'AMOUNT <br /> 10 <br /> TENDERED <br /> MAN i F E^,T #`r220"15E <br />' CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE � <br /> ------------- <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 DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> I is true and accurate <br /> DISPOSE OTHER <br /> U SOIL <br /> IREMARKS <br /> ❑ CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> C] NON-FRIABLE <br /> ASBESTOS <br />' SIGNATURE OF AUTHORIZED AGENT DAT <br /> ��� � ❑WOOD <br /> ® r <br /> ASH <br /> I ! z I <br /> d SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3 00 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 />