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Sold To <br />'EIGHMASTER'S CERTIFICATE OF WEIGHT AND ME! E No. J 3 V ZZ <br />THIS IS TO CERTIFY, AHE FOLLOWING DESCRIBED MERCHANDISE WAS WEIGHED, ARED OR COUNTED By A <br />PRIVATE WEIGHMASTER AS PRESCRIBED BY THE CALIFORNIA BUSINESS AND PROFESSIONS CODE, DIVISION 5 CHAPTER 7.3, <br />AND HIS SIGNATURE IBREOWSAND EN AUTHORITY ACCURACY. <br />- 982.4618 pate - -19- <br />874 E. Woodward - Manteca 95336 <br />DRIVER ON ❑ OFF ❑ GROSS 8, TARE <br />NET <br />WEIGHT <br />Gross Wt. <br />Only <br />Tare Wt. <br />Only <br />Tye <br />Muie.ml <br />Truck X <br />Trlr. X <br />Job No. <br />Trucker <br />Drivers <br />Signature <br />1. <br />Gunite Sand <br />Total <br />Total <br />11. <br />Dirt <br />_ Total <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />19. <br />20. <br />1. Spec Sand <br />2. Top Dressing <br />3. Plant Sand <br />4. Eng. Fill Sand <br />5. Fill Sand <br />6. Trap Sand <br />7. Top Soil <br />Total <br />8. <br />Masonry <br />Total <br />Total <br />9. <br />Playground <br />Total <br />Total <br />10. <br />Gunite Sand <br />Total <br />Total <br />11. <br />Dirt <br />_ Total <br />Total <br />Total <br />Total <br />Total <br />Total <br />Total <br />Total <br />Total <br />Total <br />Total Total <br />Total Deputy <br />Signature <br />BROWN SAND INC. PRIVATE WEIGHMASTER <br />S.A. 8.75 <br />