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� I HEREBY AFFlR/A U�lDER VENALiY OF VERtt1RV THAT I AM IICENSED UNDER 7ROVI5qN9 0F GfAPTER � ,
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COUNTY SANITATION DISTRICT OF LOS ANGEL Y
WEIGH RECEIPT
FACILITY: PUENTE HILLS �
ACCOUNT# : 04896 ACCOUNT NAME : SOUTH HILLS KITCHEN & BATH
LICENSE# : 7T28678 CUSTOMER TYPE: CASH
- MATERIAL ORIGIN: 100 . 00% Diamond Bar
� WEIGHIN INFORMATION
TRANS .NUMBER: 0108621738 W/STATION : 04
TRANS .DATE : 12/27/2012 W/MASTER ': 301878
TIME IN : 11 : 19 : 02 am
GROSS WEIGHT : 8 . 06
TARE WEIGHT . 6 . 08
NET WEIGHT . , 1 . 98
PRINTED DATE: 12/27/2012 �
11 : 19 : 30 am MATERIAL TYPE: REFUSE
RATE: 38 . 41
SUBTOTAL: 76 . 05
TOTAL FEE: 76 . 05
THIS RECEIPT IS VOID IF ANY HAND WRITTEN ENTRIES ARE CONTAINED
NOTICE
a�river or payee is responsible for determining the accuracy of information on this receipt. Any questions or wrong.
information should immediately be brought to the aEtention of the weigh scale attendant prior to leaving the transaction window.
A new, corrected receipt will be issued.
THB FOLLOWING RULSS IN THIS LANDFILL MIIST BH OB9ERVSD
1. xo amokiag while driving to, in, or returning from the disposal area.
2. No Salvagiag of di9posed material.
3. Obaerve all poated speed limita aad traEEic warning aigne. The speed limit on dirt roads and in areas that are not
posted is 15 MPH. Drive at safe speeds.
4. Use low gears when driving down hills. At no time should speed limit exceed 25 mph while driving on landfill property.
5. Dangerous practices such as, rapid backing of vehicle to dislodge loads, unassisted pull-offs or operating vehicle
without doors secured are prohibited.
6. Childrnn muet ranain in vehicles at all timea. AnYone who is not engaged in the unloading of a vehicle must remain
in the vehicle. All drivera and helpers must remain in the immediate vicinity of the vehicle being unloaded.
7. Dispose of your waste only in operating areas designated by landfill personnel
8. Tool, tailgatea, etc., muat be kept on, ia or under your vehicle. The Districte will not accept liability for damage
to these items by tractors or other trucks.
9. injury or' damage to persons or equipment must be reported to supervieory personnel prior to leaving the site. Do not �
move damaged vehicle prior to report.
10. Load pull-off ie a aervice accepted at your owa riak.. The Districte will not accept liability for vehicle damage or
personaP injury by performing this service.
11. All loade muat bn covnred. Littering on local streets or roads and other areas within the facility will not be
tolerated. Loads containing loose material must be covered in accordance with state and local laws. Covers on loads
must not be removed before arrival in dumping area.
i2. tiours of operation are rigidly adhered to.
i3. Hazardous and liquid wastes such ae: paints, oils, pesticides, cleaners, and batteriea are not accepted at any
Districts facilites. �
1a. Consumption of alcoholic beverages or narcotice on Districts property is prohibited. �
15. Loiter3ag withia the facility ie prohibite8 .
16. Maintain a safe dietance Prom other vehiclea when dumping in case of tipover.
17. Do not unload nnxt to amaller vehicles.
18. Driver muat follow all maautacturers' and DMV inetructioae on the safe operation of the vehicle. '
19. Iastructiona given by Districte' peraonnel muet be Pollowed at all timea.
These rules are for your benefit. Serious and or frequent violations may result in your exclusion from Districts' facilities.
Please insure that these regulations are followed by you or your employee.