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S k _ <br /> FORWARD <br /> INCORPORATED SITE# _ ,, -f TIcbKET 4 13Rtn'_ <br /> 9 South Austin Road/WEIGHING LOCATION P O Box 6336 '� * `" `° z" WE.IGHMAST1=Ftp <br /> nt a, CA 95336 Stockton, CA 95206 <br /> a (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 )� rx -* a €)AT>;'tl � 4 � TIME IN <br /> tes Recovery (209) 982-4936 Fax (209) 465-0631 uneem <br />' 003365 r 4),41MEE OUT <br /> � T�.'CILJ.T+�=. +.Orb.-37�`J Ss�-n .e. ' `,� <br /> ADVANCED GEO ENVIRONMENTAL 4 June dQtj : am <br /> PAUL 610ITSON Aau OFF 837 SHAW ROAD N � <br /> STIDC11 TON%� CA 95215 ,:°'*REFERENRIGIN1 <br /> Contract: 3365# TRACY <br />' 00 Gross Weight 81 ,56''.00 L8 Inbound - SCALE TICPET <br /> Stored Tare Weight 28,400.00 LB <br /> Net Weight 53, 160.00 LB 26.53 TN <br /> ""OT!YT ` -UNk7 ° ` 1 ti f]F.$CR tC3i�L=r�r}• i >> RATE EXTEtiMN s '--TAX TOTRL <br /> 26.c 7PB TN 16 STOCK ILE <br /> I <br />'EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmasterwhose signature is <br /> his certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Calrfornla Business <br /> Professions Code administered by the Dnnslon of Measurement Standards of the California Department of food and Agriculture <br /> NEC AMOUNT <br /> TE NDEFiED <br /> MANIFEST #22f�:'"�'4 <br /> Y CHANGE <br /> I <br /> CHECK NO <br /> IDRIVER'S SIGNATURE <br /> < ---—u- — —— -q—-- ---Z1 -- <br /> I <br /> CUBIC YARDS <br /> 1 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 /> EMARKS ❑ SOIL <br /> I U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> SIGNATURE Q AUTHOR i4t^x NT DATE ASBESTOS <br /> WOOD <br /> ❑ SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 3,00 P M.THE DAY PRIOR TO 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#220774 <br />