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'' • FORWAM <br />INCORPORATED <br />4999 Shclth Anetin Road/WEIGHING LOCATION P.O. BOR 6336 <br />Manteca, CA 95336 Stockton, CA 95206 <br />Landfill: (209) 982.4298 / WEIGHING LOCATION Main Office: (209) 466-4482 <br />RmoUtce RecffYety: (209) 982-4936 Fax: (209) 465.0631 <br />—Pr ^11 <br />^UM 1495T L1011009 <br />? I1111 s' MIA040" <br />c^4%t^ w. 1'rTTLE:MAN LAW!. <br />l .00 I CA ' aeota <br />5-olm 1 Grort' Weight 65 P, Ltt <br />;r_n.tR .1 Tame Weight 1_9 <br />IJnt w� i aht H3@91 L Fl <br />lnT^,TF_F+S FPlTEFPyRI9FS <br />Inbound - Chatrgm. tiCtc@t <br />recycled Paper <br />DRIVER'S SIGNATURE <br />th.�4 <br />TOMS <br />mkrri TI 9di1, b,/ Tran <br />s <br />F <br />t I <br />WPORMASfER. f 1E-�TFAS.IS iO gE the following described bommodNy was welphed, measured, or counted by a welghmoster, wM1e slgrwfure n' <br />r <br />- OUNT. <br />on ihls cert�f6y'� wt�o r feC hed f. apduracy, as prescribe by Chapter 7 (d_gnn+enc 'wnrtSecRon 127* of DNVon 5 of M6 Cal fomla &fslnesf <br />and Prolessid F�iidd, a lnlstered by DA`�IIO�Mef Measuremeril Standaids-of the CaMortTa Depadlfidnt W Food and ApricuHure. <br />TRAILER it' :.113ga0500 <br />7chmduIs P4 tiouri in Zdv.anafa rf%,rr,r_tI wif-`tt tti® I-rdfiII <br />i <br />- CHANGE .. <br />CPI1 (,PhY"yvBP—ft?PF1' to tichfntiuI#-. <br />Ori :A ya,fP.I I I <br />recycled Paper <br />DRIVER'S SIGNATURE <br />