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. '`►� <br /> INCORPORATED <br /> y999 South Austin Road/WEIGHING LOCATION P.O. Box 6336, <br /> A4a eca, CA 95336 Stockton, CA 95206 4'.(C T OR?f-I <br /> L : (209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 flfi IME IN <br /> Mk ce Recovery: (209) 982-4936 Fax: (209) 465-0631 1 Ap s- .i i r: t) 1 zi <br /> AT O' -tK!TIME OUT <br /> Y,I ,•h 5-'.i.; 1 ��(�r- 3. 1 ,�:+:)r;,;� ':' :�! am <br /> .'ROLL OFF- <br /> ill- 1(:.i <br /> MWQ�rEmNc ORIGIN tom, <br /> Jq <br /> • � i,ir- >.Ali-, � -;•+�1 . i� �--Ii ri:,� _�r� .l ,L.�-,I. F � � ,t i <br /> J. <br /> �Ir?t w 3.t-.-1 h t- <br /> QTY.'. rzUN1T ¢?, DESCRIP:OIia. ��i(vYn RATE a��*&t,-W�;EXTE:NSIONu', ,'_TAX_ TOTAL <br /> I [ <br /> 4EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured.or counted by a weighmaster•whose signature is <br /> ,n this certificate.who is a recognized authority of accuracy.as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> jna Professions Code.administered by the Division of Measurement Standards of the Collfornta Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE ` CLQ / r r <br />