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rid- <br /> FORWARD <br /> INCORPORATED ' f,� ;,91GF3lb <br /> 9 South Austin Roa(VWgGHING LOCATION P O Box 6336 <br /> *�n CA 9533b " ` '�'^'°�'` �` ' WEIGHW4ASTEH209) 982-4298 Stockton, CA 95206 <br /> I WEIGHING LOCATION Main Office (209)466-4482 <br /> e Recovery (209) 982-4936 Fax (209) 465-0637 ''�`^DYKTE fNs� ter , x v, w`,s TIME I <br /> i]1333bW ?the c- 6M <br /> ADVANCE GED ENVIRONMENTAL "k' '�=��DATE.O, - � ,�-t -� , TIME Otrr <br /> PAUL DOTSON 4 q ine c ;_ am <br />' 837 SHAW ROAD - w, -�-�-� itEHIC <br /> STOCK TON, C(4 95215 <br /> Co n t r-ac t: 3S6-# fiat Rs<FEI3Euc u, �,, ,. oarrnr. <br />' ()`I) Crass We'q-fl t E30,600. )f_t LP TftiACY <br /> Sf"O ed Tare Weight 28,460. 00 LB Irlt��,und _ SCALE TICVET <br /> Net Weight 52, 140.00 Lit `t.`�6.0 7 TN <br /> QTY' ?'-, "tJNT ='x t <br /> "DE Pj �x r 'ter.^.. ��. �.+;ly 'S~�."w . '� ♦ <br /> TOTAL <br /> 26.( 7 � EXTE:NSIQN=. '1;p,7{ �TN 16 STOIC TLE <br /> I � - <br /> L <br /> GHMASTER CERTIFICATE THIS iS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature is <br /> certrfrcate who is a recognrzed authority of accuracy as prescnbed by Chapter 7(commencing with Section 12700)of Dhnsion 5 of the C011fomia Busness <br /> rofessions Code adminstered by the D(Vsion of Measurement Standards of the California Department of Food and Agncuiture <br /> f <br /> ., NE:TAMOLrN7 <br /> MANIFEST #E2077-3 TEcNDEREwD <br /> CHANGE <br /> DRIVER'S SIGNATURE <br /> CUBIC YARDS <br /> II 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 /> I is true and accurate. <br /> DISPOSE OTHER <br /> O SOIL <br /> EMARKS i <br /> F Q CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NU WER ❑ NON-FRIABLE <br /> I ASBESTOS <br /> SIG NATUR ED AGENT DAT <br /> 7 ` ❑WOOD <br /> DASH <br />' O SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORT0 3 Oa P M THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> I TO REFUSAL UPON ARRIVAL ONGOING DAILY)DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY MANIFEST# 220 <br /> 220 7 3, <br />