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FORWARD ( SITE TICKET GRID <br /> INCORPORATED <br /> 199 <br /> 9South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> CA 95336 Stockton, CA 95206 <br /> d 209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> Les Recovery (209) 982-4936 Fax (209) 465-0631 <br /> I <br /> - DATE OUT TIME OUT <br /> VEHICLE ROLL OFF <br /> T ' REFERENCE ORIGIN <br /> OTY UNIT I DESCRIPTION RAVE EXTENSION TAX TOTAL <br /> 1 <br /> JEIGHMASTER CERTIFICATE THIS fS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature is <br /> this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Dtvrslon 5 of the California Business <br /> Professions Code admin[stered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> MTENDERED <br />' CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> F F <br /> CUBIC YARDS <br /> hereby certify that the above named material has been £���' <br /> accepted and to the best of my knowledge the foregoing <br /> is true and accurate. DISPOSAL METHOD '(TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> PEMARKS <br /> I ❑ CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> SIGNATURE OF AUTHOR I2ED AGENT DATE ASBESTOS <br /> U WOOD <br /> f f ❑ASH <br /> Ij ❑ SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3 00 PM 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# - F " <br />