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FORWARD SITE TICKET GRID <br /> INCORPORATED <br /> o9 South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> n a, CA 95336 Stockton, CA 95206 x <br /> a 209) 982-4298/WEIGHING LOCATION Main Once (209) 466-4482 DATE IN TIME IN <br />?es*Recovery (209) 982-4936 Fax (209) 465-0631 <br />' r DATE OUT TIME OUT <br /> VEHICLE ROLL OFF <br /> 5 <br /> REFERENCE ORIGIN <br /> QTY UNIT E DESCRIPTION RATE EXTENSION z I TAX TOTAL <br /> - <br /> 1EIGHMASTER CERTIFICATE THIS 1S TO CERTIFY That the foilowng described commodity was weighed measured or counted by a w&ghmoster whose 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 California Business <br /> Professions Code administered by the Dmsion of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br />' CHANGE <br /> CHECK NO <br /> If <br /> DRIVER'S SIGNATURE <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 /> is true and accurate <br />' DISPOSE OTHER <br /> REMARKS U SOIL <br />' Q CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> SIGNATURE OF AUTHOR ED AGENT DATE ASBESTOS <br /> ti ❑WOOD <br /> t <br /> j ❑ ASH <br /> ❑ SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3 00 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# �` 3 <br />