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FORWARD S ` i� ICKET t III GRID <br /> I �qCORPORATED 1 2819 <br /> 9 Soil 4-Austin Road/WEIGHING LOCATiON P O Box 6336 <br /> WEIGHMASTER-I,b<�x a» .� <br /> CA 95336 Stockton, CA 95206 'f CTOR i A <br /> an TIME 209) 982-4298/WEIGHING LOCATION Main Office (209)466-4482 �� rt��a ,DATE fN x - ME IN <br />�o a Recovery (209)982-4936 Fax (209) 465-0631 4 June 2t--I03 12.-,+9 I:)rn <br /> 003365 -DAT5 OUT I . -•, a ;'A I �."- " 'TIME OUT <br /> ADVANCED LEG 1=NV I RONME NTAL 4 .J t_tne 2003 12^50 pm <br /> PAUL DOTSON )ILL OFF <br /> I <br /> 037 SHAW ROAD 4INN W64 <br /> CJ-TOCk`#-ON, CES q5213 � 'REF�EiENC�ti' , > '-'-� i (bRIGIN- ` <br /> Con trapt: 3365# TRACY <br /> 00 Gross Height 75 ,300.00 LLQ Inbound - SCALE TICt,ET <br /> Stored Tare Weight 2e.520,.00 LB <br /> Net; Weight 46,7SO.00 LII 23.3 IN <br /> QTY c } 'UNIT E S Jt 1 ( 1 y c n . RATE EXTE NSfON TAX TOTAI, - <br /> 23 . 09 TN 16 STOCKF' LE - <br /> FGHMAASTER2 CER7IRCATE THIS IS TO CI_RTTY That the following described commodity was weighed measured or counted by a welghmaster whose signature Is <br /> is certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing wit Section 12700)of Division 5 of the California Business <br /> Professions Code administered by the Division of Measurement Standards of the Cafifornia Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> MANIFEST #r-20'75!f <br /> CHANGE <br /> I CHECK NO <br /> IDRIVER'S SIGNATUR � <br /> —T -1;74 <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been <br /> accepted a)nd 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 O SOIL <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHOR I D NT DATE <br /> U WOOD <br /> ❑ ASH <br /> ❑ SPECIAL OTHER <br /> SCHEDULING MUST BE MADE RRIORTO 3 00 P M.THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br />�TO REFUSAL UPON ARR1V L ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY MANIFEST# 22075 , <br /> 2 C <br />