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4INCORPORATED <br /> stxE Y~ rcie s ,,'GRID <br /> „ 794 <br /> 99 South Austin Road/WEIGHING LOCATION P O Box 6336 w^Ir r,r,�OFir I�•A' <br /> :' E GwMAs 4- <br /> n a, M <br /> CA 95336 Stockton, CA 95206 <br /> al 209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 ' .� -4--���� dAT1 t � b- � � t ; , TtME:IN <br />.e Recovery (209) 982-4936 Fax (209) 465-0631 4 .Jurt.2 2003 IO..5p am <br /> 00336 <br /> ADVANCED (SEC] ENV I RONMEWTAL. � t ,� �'� �] 3 r v ti-1 Ti ME dUT <br /> + ..Tr-►nom X003 11 : 13 .gym <br /> PAUL DOTSON ��� r V! HiC z x> } ROLL-OFF <br /> I837 SHAW ROAD ON R1 <br /> STOCK TON, CA `r5c�15 i' `s'.,f ORIGEN: - 4 'r <br /> Contracts 3365# TRAC <br /> IOta Gross Weight 75,740.00 L5 Inbound - SCALE TIC;P ET <br /> Tare Weight 34,480.00 LR <br /> Net Weight 41 .2,-a0.0() LD 20.63 TN <br /> r-QTY x r kUtVG(1 . > , `,f DES bETt 1 rs`, i sI r t ' ' ! MTJ r eMNSIG7N= t i TAS I TOTAL <br /> 20. cb3 TN 16 STO(" 'I LE <br /> I <br /> IEIGHMASTER CERTIFICATE THIS IS TO CERUFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> this certiffccte who is a recognized outhonty of accuracy as prescribed by Chapter 7(commencing with Section 72700)of Division S of the California Business <br /> Professions Code administered by the Dhnsion of Measurement Standards of the Cafiforna Department of Food and Agriculture <br /> NET AMOUNT <br />!� <br /> MANIFEST #220-78 TENDERED <br /> , <br /> CHANGE <br /> X <br /> CHECK NO <br /> iDRIVER'S SIGNATURE <br /> 1 <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 /> I is true and accurate <br /> DISPOSE OTHER <br /> REMARKS Q SOIL <br /> IO CONSTRUCTION <br /> FACILITY-TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> I SIGN EOFA RIZEDAGENT DATE <br /> 0 WOOD <br /> �+ 4ASH <br /> I ❑SPECIAL OTHER <br /> SCHE L G MUST BE MADE PRIORTO 3 bO RM'EHE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> I <br /> TORE SAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY MANIFEST* 2 2 0 77 <br /> f �_ <br />