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`� FORWARD SITE- m <br /> I <br /> INCORPORATED TICKET GRID <br /> f <br /> 9 South Austin Road/WEIGHING LOCATION P O Box 6336 wEIGHMASTER <br /> nteca, CA 95336 Stockton, CA 95206 <br /> (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> es Recovery (209) 982 4936 Fax (209) 465-0631 <br />' i v DATE OUT - TIME OUT <br /> ! rk— <br /> z m VEHICLE - ROLL OFF <br /> ,REFERENCE ORIGIN <br /> 7TYUNIT D CRIPTION RATE EXTENSION TAX <br /> TOTAL <br /> r -1 <br /> L <br /> IGHIIMASTER 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 California Business <br /> Professions Code cciministered by the Division of Measurement Standards of the Californio Department of Food and Agriculture <br /> NET AMOUNT <br /> tic t <br /> TENDERED <br />' CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> La <br /> F <br /> �, 4 <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 /> 5EMARKS ❑ SOIL <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> SIGNATURE OF AUTHORIZED AGENT DATE ASBESTOS <br /> ❑WOOD <br /> ) <br /> ❑ ASH <br /> Y <br /> ❑ SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 3 00 PM THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br />�TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY MANIFEST# G ►t - - <br />