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1 <br />WEIGHED AT: <br />FSOLO To <br />}ILII t! 71Ju <br />DELIVERY ADDRESS <) 101 I <br />,I <br />SPECIAL INSTRUCTIONS <br />FOB PLANT D; <br />pWNER <br />iK NO /LIC NO 1 ,,. :t.I' <br />15"mul <br />WEIGHED AT <br />t t^ <br />�, t• .�.i <br />LiFtQ � , )i:fal <br />C�ihl:l4afi3 J'.N3 I ;,11 <br />c t3aa:1.1.. <br />1-f)R :[He IN <br />EIGHMASTER CERTIFICATE B <br />7 <br />J <br />OUST P.O. No <br />v <br />FOB JOB ❑ <br />W EIGHMASTER <br />GRANITE CONSTRUCTION COMPANY <br />G CO 1 1019V 0 D 12 ] BF <br />N <br />vw THIS IS TO CERTIFY THAT THE FOLLOWING DESCRIBED COMMODITY WA <br />SIG <br />WEIGHED, MEASURED OR COUNTED BY A WEIGHZED <br />WHOSE AUTHORITY <br />OF <br />TURE IS ON THS ACCURACY, AS PIRESCRIBEDABY CHAPTER 7 (COMMENC NTE WHO IS A RECOGNII G WITH SECTION <br />12700) OF DIVISION 5 OF THE CALIFORNIA BUSINESS AND PROFESSIONS <br />COEASUREMENT DE.ADM NIST DEPARTMENT IS FOOD AND AGRICULTURESTANDARDS OF <br />AND ON THE LOT AT <br />WE MAKE DELIVERIES INSIDE CURB LINE <br />CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHAT" <br />SOEVER FOR DAMAGE RESULTING FROM SUCH DELIVERIES <br />DRIVER <br />ON <br />OFF nCOPY ? 3-07400 <br />GROSS & TARE TICKET NO <br />UST JOB NO. CONTRACT NO.. <br />RECEIVED BY <br />TIME <br />OUT <br />T 6 HAULING <br />10 ❑ <br />FOB PLANAN <br />ARRIVE <br />ZONE <br />AT JOB <br />TO GOITONS <br />I llh; <br />DEPART <br />JOB <br />QUANTITY :101 <br />TARE WT/TONS . ,. <br />;I.. I LI <br />STAND <br />TIME <br />TONS <br />ORDER NO. <br />TIME <br />N <br />GRAND TOTAL <br />TRIP <br />TOTAL TAX <br />TIME <br />TRIP <br />MILES <br />RECEIVED BY <br />