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SCALE IN GROSS WEIGHT 47,180 <br />SCALE OUT TARE WEIGHT 40,020 <br />NET TONS <br />NET WEIGHT <br />INBOUND <br />INVOICE <br />3.58 <br />7,160 <br />'SITE TICKETS i ERE <br />FORWARD LANDFILL -- <br />9999 S AUSTIN RD MANTECA, CA 9S336 <br />'cusiomal <br />009166 <br />P S C <br />ACCOUNTS PAYABLE <br />STOCKTON, CA 95203 <br />; Contract :4204Y911178 <br />CELL <br />viscamslmm 148427C <br />DATE/TIME IN <br /> IN - Cht i St trisommipbur Esteia R. <br />7/.3u o iUTI ommAmAi/..:u 10:4ky am <br />REFERENCE <br />1,0 ,An t n.Ann.,4)4,r, <br />'RILL OF LADING <br />6000923 <br />VEHICLE <br />SCALE IN 6R0SA WETSHT 47,180 NET TONS 3.58 INBOUND <br />rNVolcE _ <br />aarefilliumfa DiscluFfrioNINCOMMINIMININUNIMINI <br />" <br />Tracking OTT ,,ii.S‘.• <br />SW-CONT SOIL Origin:SAN FRANciscippOl" <br />iv JO, <br />-.". lts:\ 4 I <br />4A6A 7', A <br />/IV // SA FETV , k. <br />4" ;'fr . - L ,-*,,--7:75t- -7..-- — ) • 1:1 <br />IlliRATEIN <br />• <br />IMEXY0iStONIEriliTAMEN 11111111Mallillik <br />• <br />1 st . ( <br />1.5T <br />*3 713 <br />tn <br />,-.;h, • , -• <br />_ <br />The ands/Wood Individual elgrdng OM document on behalf of Customer ecknowledges that he or she has read end tunteistanda the.hunte and condthems <br />on the reverse elder and that hoer she Ms the atithOntr,10 sign this document on behalf at Wm customer. <br />TENDERED <br />CHIME <br />CHEW <br />RS-F042UPR (04119) SIGNATURE <br /> <br />4sITE Y8 TICKET/ 1484276 CELL , <br />WEIGHISATIEFI IN - Christina G. OUT - Estela R. <br />DATFXIME IN 7r3/20 10:26 am DATEW2 10 1046 am <br />VEHICLE PSC 190830 CONTAINER <br />REFERENCE po 0 1780.010002j0670 <br />BILL °sr LAM" 6000913 <br />FORWARD LANDFILL -- <br />9999 S AUSTEN RD -MANTECA, CA 95336 <br />.-coSTomEP 009166 <br />P SC <br />ACCOUNTS PAYABLE <br />STOCKTON, CA 95203 <br />Contract.1.1204Y911178 <br />Generator: PG&E <br />arellill &Vara ligUellea211=1.141.1114014111DEsauKnoN1111412050111/1111MINIRRIMENIV, INIRAMINInNIIIMENSLONNII 1111111140/2•111ik 11.11TAXIMII <br />15.r 1 <br />3.56 <br />70 <br />t n <br />Tracking QTY <br />SW-CONT SOIL 0 rig in :SAN ERANCISCA <br />.4 <br />i\ <br />.-1 \.,-1$\ <br />' <br />-F <br />.ff <br />/ <br />, <br />d,:i SAFET)1 <br />• <br />. <br />z.:,.. --714--v--...., :*, !...;,‘,. <br />rt. , ri,, l'..,,:,,,t 1, .ItS1 <br />The undersigned inatviduei skirting We document an Minn. of Customer acknowledges that he or she his read and understan the terms encl condhlarat <br />on the reverse skto and Hurl ha or she Ms the autharity to *sign this document On beteg 01 the cumantor. en <br />HZTAMOUNT <br />TEEMED <br />CHANGE <br />CHEM <br />RS-F042UPR (04/19) SIGNATURE <br /> <br />r - -