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SITE <br />FORWARD LANDFILL -- <br />9999 S AUSTIN RD MANTECA, CA 95336 <br />CUSTOMER <br />009166 <br />PS C <br />ACCOUNTS PAYABLE <br />STOCKTON, CA 95203 <br />Contract: 4204Y911178 <br />Generator: PG&E <br />SITETICKET <br />YH <br /># <br />lia4416 <br />CELL <br />WHOHMASTER <br />DATE/TIME IN ,ric-t,.. ,. <br />8/l ei 1.1:'CO <br />DATE/TIME OUT <br />VEHICLE <br />pse. 3w;o1 -4• <br />CONTA A,640/-- - <br />REFERENCE <br />PO4176-2001 -00027J2156 <br />BILL OF LADING <br /> <br />SCALE IN nRoss wErnmT 57,720 NET TONS 12.62 <br /> 1HROUND <br /> <br />SCALE OUT TARE WEIGHT <br />32,480 NET WEIGHT 25,240 <br />OM UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br />1.00 <br />12.02 <br />YD <br />tn <br />Tracking QTY <br />SW-CONT SOIL Origin:STOCKTON 100r , <br />The undersigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions <br />on the reverse side and that he or she has the aLthority to sign this document on behalf of the customer. <br />NET AMOUNT <br />TENDERED <br />CHANGE <br />CHECKS <br />RS-F042UPR (04/19) SIGNATURE <br /> <br />SITE FORWARD LANDFILL -- <br />9999 S AUSTIN RD -MANTECA, CA 95336 <br />CUSTOMER 009166 <br />PSC <br />ACCOUNTS PAYABLE <br />STOCKTON, CA 95203 <br />Cnntract:4204Y911178 <br />GrInerator:PG&E <br />trireys TICKETS 1584936 CELL <br />WEIGHMASTER G. <br />DATE/TIME IN8 r> ,-, U/ . ] 11:00 am CATUTTE-0Mr7, u7 1 11:26 am <br />VEHICLE PSC 30 -;01 3 CONTAINER <br />REFERENCE pool 78 -2 0C1 -0c;)2 -,T2i 56 <br />BILL OF LADING 55?, .1 ';:4 ,:: <br /> <br />SCALE IN GROSS WEIGHT 57,720 <br /> NET TONS 12.67 <br /> <br />SCALE OUT TARE WEIGHT 32,480 <br /> NET WEIGHT 25,240 <br />OW. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br />1..62 <br />,.1-) <br />tn <br />Tracking QTY <br />SW-CONT SOIL Origin:STOCKTON 100': <br />The undeisigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer <br />NET AMOUNT <br />TENDERED <br />CHANGE <br />CHECKS <br />SIGNATURE RS-F(14211PR (04/191