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tz)!y� FORWARD <SITE --TICKET . GRID <br /> INCORPORATED 0 <br /> 3994 South Austin Road WEIGHING LOCATION P.O. Box 63361WEIGHMASTER <br /> �f t, (.�.t !.�- <br /> Nanteca;CA 95336 Stockton, CA 95206 <br /> La 4'flll:(209f V2-4298 WEIGHING LOCATION Main Office: (209) 466-4482 ` 'DATE IN - TIME IN <br /> 3f �urce Recovery: (209) 982-4936 Fax: (209) 465.0631 %� fl[rY'].1 LUU; ; 4115 yrht <br /> "t t;355 " :,DATE OUT, ,-TIME.OUT <br /> R A F-I R V TRGITR' 'iiTA i, _U04 <br /> VEHICLE ROLLOFF <br /> 3..1t7 SVIE : RO it R�? i. <br /> ;?, 9565?} `:REFERENCE' '- ORIGIN <br /> C; ?trf.(;f. : X1;357 : <br /> hi; T ctss Wel i3L 3c • 1?3(�.Cr() LES Inbound - SCALE TICKET <br /> g aver 'We1gh.r 15 , 7�-0 , 00 LN <br /> QTY' UNIT-` '^--DESGRIPT(O; � ,"^;ji,},"�>,�' RATE '' EXTENSION TAX TOTALS <br /> T.N 12 CLAS S II (.;;'Vrtl SOIL <br /> 0 <br /> i <br /> WHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured.or counted by a welghmaster,whose signature Is <br /> on is certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 6 of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department',of Food and Agriculture. <br /> i. '�NET AMOUNT. <br /> E <br /> TENDERED <br /> " <br /> CHANGE'<= <br /> ' -EHECKNO.-. <br /> § DRIVER'S SIGNATURE <br /> 4 <br /> I <br /> { <br />