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FORWARD <br /> MSITE�- , ..INCORPORATED -3f, yaI <br /> 9 South Austin Road/wEiGHING LOCATION P O Box 6336 1,WEIGHI R <br /> 7C TCA 95336 Stockton, CA 95206 V 41 ' Stw f�� <br /> a 209) 982-4298/WEIGHING LOCATION Main Office (209)466-4482 S " ' -0 IN t t, TIME IN <br />�ource Recovery (209)982-4936 Fax (209) 465-0631 t un m, cfw3t_3� � t�� :ill <br /> 003 365 DATE OUT �: :, F TIME OUT <br /> ADVANCED GE O ENV I F C3NMENTPL * '��I�� rc tt; ��t I a I --in <br />' <br /> PAUL BIWlTSON k, r SHAW �.� ROLL OFF <br /> '7 I~` W ROAD W�NN In+ c t <br /> STM,TON, CA ?5215 REFEREFNCE <br /> Contract: 336'-# <br /> I F Ai;'J <br /> ()0 Gi Ossm Weaght 8), f;�-Iaf;) � L�i InbL-,,rid — E-I ;LE --1C,=ET <br /> Stored Tartu Weight EQ, 5/80.00 18 <br /> Net: I.1etatet _2i0,72o„4- <br /> �fJ LD 25 .3c <br /> ,a7 y UNI r �771e,S.f3,” t FIAT£ ENS'[ON TAX TOTAL <br /> 25 o 3 TN 16 STO F I LE' 1 <br /> I <br /> I <br /> HMASTER GERTIFICATt THIS IS TO CERTIFY That the follow ng described commodity was weighed measured or counted by a welghmaster whose sfgnature is <br /> his certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencong with Section 72700)of Division 5 of the California Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> � � CHECK NQ <br /> DRIVER'S SIGNATURE <br /> I 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 /> REMARKS ❑SOIL <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD <br /> ❑ASH <br /> ❑SPECIAL OTHER <br /> SCHEDULING MUST BEAADE PRIORTO 3 00 P M.THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> I TO REFUSAL UPON RRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> s, <br /> SALES COPY MANIFEST#2 2 0 7 J c <br />