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FORWARD <br /> V� INCORPORATED SITE TICKET GRID <br /> r - <br /> 9 South Austin Roan/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> nteca, CA 95336 Stockton, CA 95206 1-,) - <br /> 209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 <br />'es, <br />' Recovery ) 982-4936 DATE IN <br /> (209TIME IN" Fax (209} 465-0631 <br /> M f DATE OUT T1ME Qi�T <br /> VEHICLE <br /> i- ROLL OFF <br /> REFERENCE ORIGIN <br /> OTY UNIT <br /> DESCRIPTION <br /> RATE EXTENSION 4 - TAX + _ � + TOTAL <br /> r ,. <br />' Iq <br /> ' 1 <br /> fGHMASTER CE"FICATE THIS IS TO CERTIFY That the following descnbed commodity was weFghed measured or counted by a weighmaster whose s gnature,s <br /> Ws certificate who Is a recognized authorlty of accuracy as prescribed by Chapter 7(commencing with Section 72700)of Dlvislon S of the California Business <br /> rofessions Code administered by the Division of Measurement Standards of the Callfomta Department of Food and Agriculture <br /> NET AMOUNT <br /> lo _ r TENDERED <br />' CHANGE <br /> 1 <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> CUBIC YARDS <br /> rI 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 U SOIL <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> SIGNATURE OF AUTHORIZED AGENT 7 DATE ASBESTOS <br /> >' a WOOD <br /> U ASH <br /> O SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3�M PM 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# t t <br />