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• • <br /> FORWARD <br /> t.ro INCORPORATED SITE TICKET cKEr - <br /> " .. <br /> 9999 South Austin-Road/wElcewc LOCATION P.O.Box 6336 WEIGHMASTER <br /> Manteca,CA 95336 Stockton, CA 95206 N A N C7 <br /> La 7f1II: (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 ' DATE IN - TIME IN - <br /> Re urce Recovery:(209) 982-4936 Fax: (209) 465m0631 ' April 2010A, 57 pm <br /> 00 4 3 5 rs r>DATE OUT rTIME.OUT `. <br /> Piz xiz 4x•m VEHICLE ROLL OFF <br /> m .,Lr <br /> 331-0 S dETZER ROAI) at <br /> ,L00MT S, CA 95650 REFERENCE- ORIGIN <br /> ontractt 4355ry CiD2 <br /> 00 Gross Waight 30 ,980 .010 LB irbolaa d - SCALE TICaiE <br /> Tare t4el,ht 16, 520 , 00 LE <br /> iget Weight 14 r 460AC-For 00 LB 7 ., 23 Mq <br /> ' :O7Y. . d*:;. -,UNITar: x .a wrs� '`'.r,a,t!:':J'DESORIPCEIN='s�''r:Fnk;3' .-'c"`m`.. ."". RATE ....EXTENSION -.TAX TOTAL.. <br /> 7 . 23 TFF 3 CLASS II COVER. SOIL <br /> i <br /> W HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a welghmaster,whose signature Is <br /> on this certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 127M of Division 5 of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> NET AMOUNT <br /> p > TENDERED <br /> R :'tATI.T1''ESI; X265310 <br /> P . : CHANGE <br /> DRIVER'S SIGNATURE <br />