Laserfiche WebLink
FORWARD <br /> I N C O R P O R A TED Sfj� <br /> ,.TICKET M r GRID <br /> A tlbt38 7 <br /> 99 South Austin Road/wEIGHING LOCATION P O Box 6336 ` �` ' ' r � r WEtGHMASTER4,'1 f � � � <br /> nt a,CA 953ab Stockton, CA 95206 C'TOR + <br /> a 209) 982-4298/WEIGHING LOCATION Main Office (209)466-4482 ` " -�F'J'7 '-DATE-j* <br /> TIME 11V <br /> tes Recovery (209) 982.4936 Fax (209) 465-0631 4 June 2CJ03 :OE! PM <br /> 1 00365 -+ _ •'Tl1G1E QIxT <br /> ADV'ANCE'D GE0 ENVIRONMENTAL 4 June 2008 L :02 pm <br /> F AUL DOTSON '. <,° 1 ) VEHTCI.EJ, 4 � x i a'. 5 �. »+ � �ROLL OFF <br /> 1 887 SHHW ROAD WINN W54 <br /> STOC1-TC?N, CA 9521 <br /> COI`I t roc t: 3365# TRACY <br />' Gross Weight 80,4Q0.00 LB Inbound SCALE TICf ET <br /> Stc,red Tare Weight 28,4,!DO.00 LB <br /> Net Weight 51 ,940.00 L9 25. ?: TN <br /> tP C]TY' llHf{ ."` ; ,- t t" RATE• EXtNStOTV ; TAX, TOTAL <br /> 25. `r7 TN 16 STOCf ILE <br />'EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature is <br /> j[hIs certificate who is a recognaed authority of accuracy as prescribed by Chapter 7(commencing with Section 127DO)of Division 5 of the California Bushess <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agricutture <br /> NEC AMOUNT <br /> TENDERED <br /> MAN I FEST #220 T 3 <br /> CHANGE: <br /> f <br /> CHECK NO <br /> DRIVER'S SIGNATURE —I \_ <br /> -'— � <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 DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> REMARKS 0 SOIL <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHQPdZE0#0ENT DATE <br /> L)WOOD <br /> ❑ASH <br /> ❑SPECIAL OTHER <br /> SCHEDULI G MU BE DE PR RTO 3 00 P M THE DAYIPRIOATO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> I TO REFUSJAL UP RIVAL, ONGOING DAILY DELIVERIES MUST <br /> BE SCHEDULED WITH THE LANEDFIL#THE DAY BEFOREE — <br /> SALESZ G L� <br />