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FORWARD ._SITE TICKET GRID - <br /> INCORPORATED <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> Manteca,CA 95336 Stockton,CA 95206 <br /> La still: (209) 982.4298 WEIGHING LOCATION Main Office: (209) 466-4482 DATE IN TIME IN <br /> Re Surce Recovery: (209) 982.4936 Fax: (209) 465.0631 <br /> ' �' •r. - DATE OUT — TIME OUT <br /> 'VEHICLE ":'ROLL OFF •• <br /> REFERENCE.. -... ORIGIN., <br /> ` - QTY. UNIT." . DESGRIPTIONi^FfwT'r .A' •;! +i.P• ` RATE EXTENSION TAX.' TOTAL - <br /> 1 <br /> 1 <br /> WI JHMASTER 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 12700)of Division 5 of the Califomlo Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> NET.AMOUNT. <br /> f TENDERED'' <br /> p f <br /> —CHANGE <br /> t � Y <br /> DRIVER'S SIGNATURE <br /> i <br />