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(t.F0RWA,-X <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 Fix: (209) 465.0631 <br />71JN WL9T I-1000r•'S <br />t) I-IMY !`I.IAG14nS <br />=line W., f'.ETTLE:MA11 L.N417 <br />ICA �Sh2 <br />6c>Aie 1 (,rOrm Weight '�4'YS' Ll: <br />Scalp I Tare Weight 3172'� 1, I, <br />tJr+. Uninh+ 11 q4"' LF' <br />.,I. I 'MjItq <br />p•nr <br />-":7y9. .o I ,113 -ti <br />'^�°1 l �'!AF'IfrU:d )_t?Cr+Tinr1G <br />InttoLind - GharVP tr.cice+. <br />IIS <br />DRIVER'S SIGNATURE <br />recycled paper <br />--�� � tiai <br />?1.`i3 <br />TMIS <br />clans 11 ,^„iii h•. Ton <br />{ATE.. IS TO CE(2TIFVJi�tcit the following described commodity was weighed, measured, or counted by a welghmoster, whose signature is <br />WEIGHMASTER C11.71 <br />on thn certl�c A. 1t b rec3lzedtO ,'..'GG�{C& accuracy, as prescribed by Chapter 7 (commencing with Section )2700) of Division 5 of the California Business <br />and Professlcfft,6dd; adf8lnlstered by Th619hi a—*RAeasurement Standards of the California Department of Food and Agricuture. <br />-- NET AMOUNT..a <br />.. " #4L(W <br />i h'?dsi1r? 2,f hnl..trm 111 .%ij.. incur: dirr:�r 1-t; W hh the 1and fi 11. <br />re)1 f�tt�?ToErF-4tn.'Et tr ^chc�NUIF',. <br />!)r i . m ^-.-A m t'.' 1 r <br />TENDERED , <br />- .CHANGE <br />.CHECK NO. <br />DRIVER'S SIGNATURE <br />recycled paper <br />--�� � tiai <br />