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FORWARD �Tf <br /> �►� INCORPORATED ke `" 7rleKr ' <br /> E3678V <br /> 9 South Austin Road/WEIGHING LOCATION P O Bax 6336 9 �' � 'r 1 - WEIGHMABTE:R-- <br /> In ,CA 9533b Stockton, CA 95206NAINILy <br /> a 209) 982-4298/WEIGHING LOCATION Main Office (209)466-4482 = �+ ATE,IN r TIME IN <br /> 1 Recovery (209) 982-4936 Fax (209) 465-0631 4 <br /> a�E?33fs5 <br /> QAi~ �� ENOIRt�3{�JA'IENTAI -a rDATE4J17 c, : n 3 TIMEOLJT <br /> June el—i.Ar-1 3 .•�I air, <br /> PAUL DOTSON <br /> 83'7 SHAW ROAD i 1 ; 'INN 4 IOLE� <br /> 5T©Ca'TON, Grp 95215 ` RE I~Nc � _ caRtotlu <br /> Contract: 3365# TRACY <br />' 00 Groes Weight 76,84x3.00 LS Inbound - SCALE TICKET <br /> Stored Tare Weight 28.521.).00 L8 <br /> Net Weight 4e,320.00 LD 24. 16 TN <br /> `UFF 4 , 7 UNbT. - t : <br /> D SCRIt� , , z c ATE tEXTENSP TM Toral <br /> 24. 16 TN 115 STOCK R E <br /> I <br /> IGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature s <br /> his cerhficate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Califomia Business <br /> Professions Code administered by the D:vision of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> EiNf1EREp <br /> MANIFEST #220'763" <br />' CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> ' r CUBIC YARPS <br /> I her certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> Is true and accurate DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> REMARKS DISPOSE OTHER <br /> os � <br /> NSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> SIGNATURE OF AL1TH2qqPngENT DATE ASBESTOS <br /> ❑WOOD <br /> ❑ASH <br /> 1/ ❑ SPECIAL OTHER <br /> SCHEDULING MUST BE M#DE PRIORT0 3 00 PM THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJE=CT <br /> TO REFUSAL UPON ARFrAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> I �� <br /> SALES COPY MANIFEST# 220763 <br /> 220763 '_ <br />