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1 -7(f FORWARD )SITE-, �- _ -} . a�T• INCORPORATED #� 236G4599 South Austin Road/Vvsc! ING LOCATION P 0 Box 6336 4--"t' `rw" e WEIGHMASTER.On't ae'Z : < Wntaca,CA 95336 Stockton, CA 95206 iTCTORIA a 209)9$2-429$/WEIGHING fOCATiON Maln Office (209) 466-4482 c R. 4x`' t DATE IN 5 r t TIME IN ' s e Recovery (209) 982-4936 Fax (209) 465-0631 4 June 2i_,02 12„ t I M PITS t i� 3h5 ",*'-TIME OUT. ADVANCED" GEO ENVIRONMENTAL 4 June 2003 12: 11 Dirr MAUL D07 SON r ) ,YEHiCLE�` r ROLL 0 I837 SHAW EGAD 4 1 N W56 STO k TON, CA SE 15 REFERENCE . ,-- I Ilv 4 i Contract., 3365# TRACY Lac) Gross Weicht 77,320.00 LB I; boitna — SCALE TICI ET Si'ored Tare Weight 28,480.o(3 Lis Net Weight 4B,840.00 LP 24.42 TIMI EtNIT" r o r DE P iICtN x r s F{A'E z SIGN TAX, r x TOTAL 24.42 TN ' 6 STOC I LE ` 1 I ' IGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commcdtty was weighed measured or counted by a welghmaster whose signature is this certiflcote who Is a recognzed authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business [d_Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture NET AMOUNT I . TENDERED I1AN I FEST #FF'0 7'_' CHANGE CHECK NO DRIVER'S SIGNATURE CZ � CUBIC YARDS II hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) is true and accurate DISPOSE OTHER REMARK S ❑ SOIL ❑ CONSTRUCTION FACILITY TICKET NUMBER DEBRIS ❑ NON-FRIABLE SIGNATURE OF AUTHORIZED AGENT DATE ASBESTOS Q WOOD "7 t 1 ❑ASH 5 ❑ SPECIAL OTHER SCHEDULING MUST BE DE PRIORTO 3.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON A RIVAL. O GOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE $ SALES COPY MANIFEST# L Y G.