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;ITE {SITEY8 TICKET# 1501132 (CELL <br /> FORWARD LANDFILL -- <br /> 9999 S AUSTIN RD -MANTECA, CA 95336 WEIGHMASTER <br /> Christina G. <br /> USTOMER 009166 DATE/TIME IN DATErTIME OUT <br /> 10/1/20 10: 46 am 10/1/20 11:04 am <br /> P S C VEHICLE PSC 305030 CONTAINER <br /> ACCOUNTS PAYABLE <br /> STOCKTON, CA 95203 REFERENCE po # 178-1910-0017-j0359 <br /> Contract :4204Y911178 <br /> Generator:PG&E BILL OF LADING 6003706 <br /> SCALE IN GROSS WEIGHT 42, 360 NET TONS 5.52 INBOUND <br /> SCALE OUT TARE WEIGHT 31, 320 NET WEIGHT 11, 040 INVOICE <br /> OTY UNP/ DESCRHwWN RATE C EXTENSION TAX TOTAL J <br /> 15•1' YD Tracking QTY <br /> 5.52 to SW-CONT SOIL Origin:MANTECA 100 <br /> I <br /> i <br /> TENDERED <br /> The undersigned individual signing this document on behalf of Customer acknowledges that he or s has r�gad and understands the terms sonditiolts CHANGE <br /> on the reverse side and that he or she has the authority to sign this document on behalf of the CuSt fir, t <br /> \\\ CHECK# <br /> RS-F042UPR (04119) SIGNATURE <br />