HomeMy WebLinkAboutdb waste receipt.pdfWEIGHMASTER CERTIFICATE
THISIq Tn CERTIFY that the following described commodity was weighed, measured, or counted hv a weighmaster, whose
ture is on this certiuie , who is a recognized authority of accuracy, as prescribed b�,(ter 7Chapcommencing with Sectin
12700) of Division 5 of the California Business and Professions Code
the California Department of Food and Agriculture.
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Weighed atm. Customer:
signa
GRAND CENTRAL RECYCLING &
TRANSFER STATION INC. POMONA
VALLEY TRANSFER LOCATION
1371 E. 9TH STREET
POMONA, CA
Vehicle
License
91766
SELF -HAUL
999 HATCHER AVE
aciministerea by the L Ivision OT ivieasuremen
. .0
CITY OF INDUSTRY, CA 917481016
Customer #: PV-406239
SELFHAUL SELF HAUL-CASH/CREDIT/CHK
03023F3
Comment : JOSE A RAFAEL
Ori in
DIAMOND BAR
.. .... . . ...... .. . ........ . ... ........ ... .
Material & Services
C&D
Driver Signature
Received by Weighmaster.I
JUDITH SANTIAGO
Gross
.........Ticket #:
Date
Time In:
Time Out:
t Standards of
15637
12/11/2023
2off 40:19PM
2114 5 5* 2 2 P M
INBOUND LOAD
SYSTEM GENERATED
Tare Net Qtv Amount
2 19900 LB 1 12880 LB
7020 LB
3,51 TN
Total Qty so 3o5l
421v20
Total Due : $421-20
Payment Information
Credit Card VISA: 3273 Authes 028055
$421520
Billing Information
Bill To
Billing
Billing
Seryice
Service
Account
Address
Name
Address
Payment Information:
Authorization
Amount
Pmt Method
Card Number
Date
Time
Sl"gnature:
Payment Receipt
POMONA VALLEY TRANSFER
DOSE RUIZ
PV-406239
999 HATCHER AVE
SELF -HAUL
999 HATCHER AVE
028055
421e20
VISA
xx3273
Mon Dec 11 2023
14-:45
We Thank You For Your Business