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FORWARD LANDFILL -- SIYT. TICKET# 1340338 CELL <br /> 9999 S AUSTIN RD MANTECA, CA 95336 WEIGHMASTER <br /> Estela R. <br /> CUSTOMEt10325 DATE/TIME IN DATE/TIME OUT <br /> KENT'S OIL COMPANY 11/1/18 10:01 am 11/1/18 10:19 am <br /> STEVE AZEVEDO VEHICLE CONTAINER <br /> PACIFIC 15 <br /> STOCKTON, CA 95206 REFERENCE <br /> Contract:42041818050 <br /> Generator:KENT'S OIL SERVICE INC. DBA PACIFIC NORT BILL OF LADING COPIES <br /> SCALE IN (;ROSS WFT(;HT 16,240 NET TONS 0.69 INBOUND <br /> SCALE OUT TARE WEIGHT 14,860 NET WEIGHT 1,380 INVOICE <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 1.00 YD Tracking QTY <br /> 0.69 to SW-CONT SOIL Origin:STOCKTON 100% <br /> 1.00 ENVIRONMENTAL FEE 1 <br /> 1.00 FUEL RECOVERY FEE <br /> TENDERED <br /> The undersigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions CHANGE <br /> on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br /> RS-F042UPR(07/12) SIGNATURE CHECK# <br /> SITE FORWARD LANDFILL SITE TICKET# 1340338 CELL <br /> -- <br /> 9999 S AUSTIN RD -MANTECA, CA 95336 WEIGHMASTER <br /> Estela R. <br /> CUSTOMEfb10325 DATE/TIME IN DATE/TIME OUT <br /> KENT'S OIL COMPANY 11/1/18 10:01 am 11/1/18 10:19 am <br /> VEHICLE CONTAINER <br /> STEVE AZEVEDO PACIFIC 15 <br /> STOCKTON, CA 95206 REFERENCE <br /> Contract:42041818050 <br /> Generator:KENT'S OIL SERVICE INC. DBA PACIFIC NORT BILL OF LADING <br /> COPIES <br /> SCALE IN GROSS WEIGHT 16,240 NET TONS 0.69 INBOUND <br /> SCALE OUT TARE WEIGHT 14,860 NET WEIGHT 1,380 INVOICE <br /> QTY. UNITDESCRIPTION RATE EXTENSION TAX TOTAL <br /> 1.00 YD Tracking QTY <br /> 0.69 to SW-CONT SOIL Origin:STOCKTON 100° <br /> 1.00 ENVIRONMENTAL FEE 1 <br /> 1.00 FUEL RECOVERY FEE <br /> TENDERED <br /> The undersigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions CHANGE <br /> on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br /> CHECK# <br /> RS-F042UPR(07/12) SIGNATURE <br />