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FORWARD LANDFILL -- <br />9999 S AUSTIN RD-MANTECA, CA 95336 <br />TOME%09476 <br />HAMILTON, TERRY <br />***PREPAY ACCOUNT*** <br />MODESTO, CA 95358 <br />Contsact:4204170369 <br />Generator:RODNEY D GAFDF <br />SITEyg <br />TICKET 0 1223141 <br />CELL <br />WEIGHMASTER Alexis M. <br />DATEMME IN 3 / 10 / 17 2:31 pm <br />OAT1M4'/4V/ 17 2:53 pm <br />VEHICLE HAMILTON 1 <br />CONTAINER <br />REFERENCE <br />BILL OF LADING _ 3689460 <br />SCALE IN GROSS WEIGHT 21,900 NET TONS 5.42 INBOUND <br />SCALE OUT TARE WEIGHT 11,060 NET WEIGHT 10,840 INVOICE <br />QTY. <br />UNIT DESCRIPTION <br />RATE <br />EXT8Ni10M TAX <br />TOTAL <br />5.00 <br />5.42 <br />1.00 <br />1.00 <br />YD Tracking QTY <br />to SW -BENEFICIAL REUSE Origin:LODI 100E <br />ENVIRONMENTAL FEE 1 <br />FUEL RECOVERY FEE <br />The undersigned Individual signing this document on behalf of Customer acknowledges that he r she hes reed j#nd�n and conditions <br />on the reverse side and that he or she has the authority to sign this document an behalf of the costo / <br />/J{ <br />TENDERED <br />CHANGE <br />CHECKM <br />De_cnn01ioo M7W)% CIrONATIlAr k ��A C-0-%' -- - - -_-� \ J <br />