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+r" <br /> 1 � FORWARD SITE, .r . �r TIcIMT�w ,�x t r �W 4GF0D� . <br /> INCORPORATED � r3tti;� <br /> 9 South Austin Road/welGtrlNG LOCATION P O Boz 6336 T °j '•'' , s wraGHmASTER ,r ?m s ,, <br /> nt a, CA 95336 Stockton, CA 95206 V i C or, I A <br /> in 209) 982-4298/WEIGHING LOCATION Main Office (209)466-4482 =TIME IN <br /> esdW Recovery (209) 982-4936 Fax (209) 465-0631 4 JL tri= i:003 <br /> 03 <br /> TIME OL.VT <br /> ADVAPICI D SEO !CNV a ROI- MENT 4L. -1 ine L.) <br /> t=`AUL DOTSON » � VEHICCEt` A s i ROLE-0FF <br /> I <br /> 837 SHAW FORD DE-VI-if L 46 <br /> -r[j f'T0N, Cd``'r X521 O lel" <br /> Contract ,- 3365# TI=iAC't <br /> Gross We,,ght 7c^.t.►ctjAtit.) LP Inbot..6[ d - SCS ,LE TIC1 El <br /> ltc,red Tare Weicht 31 .520.04-J LB <br /> Net Weight 40.540.Oij LS 20. 27 TN <br /> "�Mw 1 , _ �1N 1 { .Dl»SCR !ON`s '� t - S W 4 OATE EXTIrTJB12bi v TAX, r TOTAL <br /> r i 4 r ?N ? STDCKP E. <br />:IGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature s <br /> his certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of DMslon 5 of the California Su&ness <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NFA'AMOUNT <br /> WNDERED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> w f T f <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 /> REMARK S ❑ SOIL <br /> I ❑CONSTRUCTION <br /> FACILITY TICKET NUM - DEBRIS <br /> � ❑ NON-FRIABLE <br /> ASBESTOS <br /> I SIGNATURE OF AUTHOR'RED AGENT DATE <br /> lr ❑WOOD <br /> 9'• - ��� 1 <br /> 0ASH0 SPECIAL OTHER <br /> SCHEDULING MUST BE WIADE PRIdRTO 3 00 P M THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> I TO REFUSAL UPON ANJIVALdNGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> S4LES COPY MANIFEST#ny 6 <br />