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FORWARD -SITE TICKET GRID <br /> INC0RPURATED <br /> 9 South Austin Road/WEIGHING LOCATION P O Box 6336 7 WEIGHMASTER <br /> nit a, CA 95336 Stockton, CA 95206 <br /> a209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> es Recovery (209) 982.4936 Fax (209) 465-0631 <br /> -� <br /> DATE OUT TIME OUT <br /> r <br /> - _ VEHICLE ROLL OFF <br /> REFERENCE ORIGIN'S <br /> _ ' <br /> it l <br /> OTk UNIT DESCRIPTION RATE EXTENSION TAX. + TOTAL <br /> 1 <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature is <br /> is certrficate who,s 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 Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> ry , CHANGE <br /> � CHECK NO <br /> S <br /> DRIVER'S SIGNATURE <br /> 't <br /> tir <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 /> ❑ SOIL <br />' HEMARKS <br /> C1 CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br />' SIGNATURE,OF AUTHORIZED AGENT' DATE <br /> � ❑wooD <br /> r ❑ASH <br /> ❑ SPECIAL OTHER <br /> SCHEDULING MU§T BE MADE 13RIORTO 3 00 P M THE DAY PAIORTO EXPECYED 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# el -7 <br />