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"'GRID <br /> FORWARD INKIM111111 mill I <br /> INCORPORATED <br /> 9999 South Austin ROaV,4/WEIGHING LOCATION P.O. Box 63-36 <br /> "WILeca, CA 95336 .1 Stockton, CA 9520,6 <br /> 1. (209) 982.4298/WEIGHING LOCATION Main Office; (209) 466-4482 lug, ATIME N <br /> 'Wc'e Recovery: 982-4936 Fax: (209) 465-0631 <br /> R .1 Hip <br /> ocippIME OUT <br /> i-;ID 1" 1 1 C-'Q t-, �T1 <br /> CL <br /> -7 CFIO OPI <br /> i=,N y 0, <br /> V <br /> q <br /> 1WREFEREWIEWMI ORIGIN% <br /> 10 t�ir I Ci V4 <br /> j - -f I -t. - <br /> h t <br /> c Wn 2. ri 1: <br /> g <br /> QTY: DESCRMTMITE A;EXTENS I ON T011-'--TAk,�,,.1 ----LO--TAL <br /> E cT r I V E R <br /> WUGHMASTERCERTIFICAT6 THIS 15 TO CERTIFY That the following described commodity was weighed,measured,or counted by a wolghmaster,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 CoHornio Business <br /> and Professions Code,administered by the DIvIslon of Measurement Standards of the California Department of Food and Agriculture. If�ET AMOUNT <br /> fUN'T <br /> TENDERED <br /> CHANGE <br /> CHECK NO. <br /> DRIVER'S SIGNATURE,,`- <br />