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FORWARD <br /> sl0'K #- ..• `GRID <br /> ,yob I N C O R P O R A T E D <br /> EIaFiMA9TEFt �c:ti• , : . <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br /> vl eca, CA 95336 Stockton, CA 95206 V L G70R.1 6; <br /> I: (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 Df�'L wl tf! ?• s:^=:TIME IN <br /> R ce Recovery: (209)1982-49'5 Fax: (209) 465-0631 y 4�11Py- L I <br /> P,TEtO'T :� ta3xe=3 TIME OUT <br /> ".k OLL..OFF <br /> lJ <br /> OWE EFERE G ':ORIGIN. <br /> . + r-. ad. Lf�l'-kf �;..r. ...yr. . Ijli I_.E:• � I-ii,�-llil'I., - ..,I ,l- } I � I�i�.i 1 <br /> QTY. ;: <:UNITt.t-X _ � .: OE 0191LRT10N FiATE��Y��4t'777,1 XTENSION: ;r``i!..h:,TAX � TOTAL <br /> wEIGH"TER CERTIFICATE THIS IS TO CERTIFY That the following descrlded commodity was weighed,measured,or counted by a weighmaster•whose signature is <br /> :�n Ina certificate.who is o recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Colifornia Business <br /> and Processions Code.administered by the DlvNon of Measurement Standards of the California Department of Food and Agriculture. <br /> _ �ti.NTT AMOUNI <br /> TEN FRED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE,," <br />