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FORWAM <br />INCORPORATED <br />9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br />Manteca, CA 95336 Stockton, CA 95206 <br />Landfill: (209) 982-4298 / WEIGHING LOCATION Main Office: (209) 466.4482 <br />Resource Recovery: (209) 982.4936 Fax:(209) 465.0631 <br />—Efln I t <br />',UPI WEST 1.,101.10PS <br />J I MM r At4AGI100r <br />E 4�c' U. Kr TTLE'MAIJ I-AIJC. <br />LOD 1 CA "gP42 <br />5raitt 1 GrOrr Wei.clht "PEr,'1 L..F' <br />Ocala .L Taro kl*%ght 28960 1-8 <br />I4 t 4ec,61,, 1 } <br />24. 9 tljNa Cl j.c,T (i `~" j l b'; i,�n <br />I i^7371'+ <br />,o^ <br />f)Pclfl <br />P 41 L 19111-1 WCST I TnlJt]kS <br />lribOL)nd - Changer tich:!,,t <br />WEHiHMA R C ISI�fSS TO Cf That the foflowing described commodity was weighed, measured, or counted by o welghmoster, whose signature Is =I nmvun <br />W Md c fll o d r oynlzedM r of accuracy, as prescribed by Chapter 7 (commencing wnh Secflon 12700) of DMslon 5 of the Gasfomla Business — <br />and ProfOUff t M6, dAlhlstered by,$si QvDId9fteasurement Standards of the Calnomla Department of Food and Agriculture. <br />1. a Z-41 'o TENDERED <br />9chadulm 24 hotir3 in id•:'anr_a rltrAr-tly witti ttim I,�rrdfill. <br />Cil} (p;,e)08p-4?0fl to rrllc^ch-lif' <br />rrt-:a SAfR1y I r <br />recycred page <br />DRIVER'S SIGNATURE <br />