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FORWARD <br /> 1 `fib SITE ' TN1;TtEf r r s• <br /> INCORPORATED { GRID <br />�9 South Austin Aoad/WEIGHINC LOCATION P O Boz 6336 �"� ` WE1�tan�S�TER <br /> nt a, CA 95336 Stockton, CA 95206 fMHNIJ <br /> an 209) 982-4298/WEIGHING LOCATION Main Office (209)466-4482 ,"� }ul7ATE IN.L + TIME IN " <br /> es Recovery (209) 982-4936 Fax (209) 465-0631 �; {-n (_)(i Q t 1ain <br /> 1 0.03365 x ©ATE tt —.W ",I` h Ih `TIME OUT <br /> ADVANCED GEC ENVIRONMENTAL i'Are e0ud 1(-): IurRm <br /> PAUL DOTSON <br /> 1 037 SHAW ROAD �-4 " 1 ° vEHICLE�-x � ,, - ,. --,ROLL OFF <br /> IN I 14N 7iZ <br /> STQCI'T©N, CA 95215 REFEREiNC1=i 4 �� amaIN <br /> Contrract ; 3361;5# TRACY <br /> 1Gross Weight 7E3,840.00 Lir Inbo-.nd - SCALE TICKET <br /> Stared Tare Weight 29,480.00 LS <br /> Net Weight 4Y,360.00 LES 24.68 TN <br /> tir QTY , UNIT l " � � EfESCR" 1*~,!4'� Z FFeTE5vSl0J`I ° TAX j TOTAL <br /> 24.6 TN 16 STQ� ILE <br /> I <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> is certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Califomla Business <br /> Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> ARAN i FEST 4220'767 TENOER1=© <br /> 1 CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE lo7 <br /> CUBIC YARDS <br /> 1 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, I le <br /> DISPOSE OTHER <br /> EMARKS O SAIL <br />' C] CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> NON-FRIABLE <br /> ESTOS <br />' SIGNATURE OF AUTHORIZED AGENT DATE I <br /> D <br /> I ASH <br />' SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 3 00 P M THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> ITO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> "-ALES COPY MANIFEST <br /> # 220767 <br /> e�L}2 '�' <br />