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Western Stone Products Delivery tag , <br /> Weighmaster Certificate <br /> A CBR Company 1022 Woodland Avenue • P O. Box 3171 <br /> Modesto, CA 95353 <br /> WEIGHED AT. G° fir. 1-800-676-3201 • (209) 523.3201 <br /> 1022 Woodian;A*' 3371 N.Highway'59 711 S. Madison <br /> Lathrop Rd.8 P 180{1 Paulsen Road_ . <br /> 1 Modesto,CA 95351 52 Merced,CA,95340rJ$ Stockton, GA 95203 54 Manteca.CA 9533 5-536 Turlock, GA 95380 S6 8181 WBus Loop 205 <br /> Tracy.CA 9537fi <br /> LOAD LEAVE PLANT ARRIVE JOB START POUR. END'POUR LEAVE JOB ARRIVE PLANT_JL �rr�� <br /> f.k tV; <br /> WATER ADDED ON JOB AT CUSTOMER <br /> CUSTOMER'S REQUEST GALLONS SIGNATURE X <br /> WEIGFIMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a'weighmaster, whose <br /> signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing;with Section 12700) of Division 5 of the <br /> California Business and Professions Code;Administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> CAUTION:. CONCRETE IS CAUSTIC. <br /> AVOID CONTACT WITH SKIN. <br /> PLANT,.. TICKET NO. ORDER NO. CUSTOMER No - -SOLD TO: - <br /> - 1 - <br /> 54 17 10006350 CLARK WELL INC. DATE .t <br /> DELIVERY ADDRESS V: ZONE DRIVER <br /> PIO NUMBER <br /> 4350 E, CHEROKEE :STOCKTOIII STEVE WILSON <br /> -- SPECIAL INSTRUC IONS - - - - <br /> ON JOB 1030.1100! ONE MILE EAST OF 99 / MOBILE HQME PARK 1 <br /> PROJECT NO. <br /> SPECIAL INSTRUCTIONS <br /> JOB NO <br /> s <br /> TRUCK NO LOAD SIZE MIX CODE SLUMP %AIR %CALC. - <br /> SPECIAL INSTRUCTIONS CONT - <br /> 382 9. 0 .1.33 <br /> its � a w �mx�� <br /> a, a T�azr maa <br /> i#+�,QAt� T$xA CuWtA7IVF �''� -t - � I# "'�t» i• 5 <br /> aa4 '.OADEA O- s 1 is+a UNIT F1' a a -e' 1 a a«a xa x azo-^. -`-i}'yE5 tp i « a. ,^-;y J <br /> iQUANTITY -" sOt1AN71TY �y _ n.... '"$�MEASURE� 5� PRODUCT gE`t ? Y y �,xe=.;': : <br /> ux - t#UANTITYq� a_-�, "-r conE g., '� g s�'S��D-ESCRIaTlo1+1� "• 2 ?UNIT ;4 _ s <br /> PRlct 1 I AMOUNIJ t 3 <br /> 9. 0Q 5. 00 9. 00 YARD 9070LSOO 9 SK SL. <br /> .133 <br /> �p f � R <br /> My <br /> t <br /> p $S 1aeaa ,, <br /> p 3 qyqy x � <br /> - WESTERN-STONE PRODUCTS - g <br /> wEIGHMASTER .. , / SUB-TOTAL <br /> -WESTERN STONEPRODUCTS ASSUMES NO <br /> RESPONSIBILITY FOR DAMAGE INCURRED IN TAX <br /> BY DEDVERING MATERIALS INSIbE THE CURB LINE. ' <br /> .D PUTv a <br /> CUSTOMER a` ' � 1� TOTAL <br />