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See Reverse For Terms, <br /> Conditions and Warnings <br /> WEIGHMASTER CERTIFICATE TICKET NUMBER <br /> THIS IS TO CERTIFY that the following described commodity was weighed, <br /> AMERICAN TRANSIT MIX CO., INC. mea`°red, or counted by a d -thl aster, hose signature is n this <br /> certificate,who is a recoy i d authority°f ccuracy,as prescribed by <br /> Cpter 7(Commencing th Section 12700)of Division 5 of the California ,f <br /> C ess and Professions Code administered by the Divislon of " "''- <br /> Measurement Standards of the Califom-ra Department of Food and W.PLANT ARR.JOB <br /> Agriculture. <br /> *LOCATION WHERE WEIGHED <br /> (SEE REVERSE FOR PLANT I.D.) START POUR END POUR <br /> SOLD TO: SHIP TO: <br /> LV.JOS ARR,PLANT <br /> TRUCK# BATCH TIME <br /> COST.# PROJECT# SHIP DATE *PLANTJ ORDER# CUSTOMER P.O. JOB/LOT# <br /> MIX# CU.YDS, LOAD# QTY.ORD. QTY.SHIP'D SLUMP USE DRIVER <br /> j. "' " fi,• ,r'`I .;"..i:': H, `� M 1°sl:l;4.I;..c?�,.- 6.+�,R .,rR ..C;�P':• ;I :: a�. II,,;. <br /> MIX DESCRIPTION CASH SALE <br /> UNIT RIE U M A <br /> PROD- .QUANTITY U/M DESCRIPTION <br /> WATER ADDED AT CERTIFICATE OF COMPLIANCE <br /> WE CERTIFY that the pon:land cament,chemical and mi era(admixtures contained in the material <br /> ` f described below are brands stated and comply with specifications for: S,UB-TOTAL <br /> PLANT: GALS CEMENT BRAND: TYPE:AL MILL LOCATION: SALES TAX <br /> CHEMICALADMIX: BRAND: TYPE: TOTAL <br /> CIQ <br /> JOB SITE: GALS, MANUFACTURER: <br /> STANDBY TIME <br /> CYLINDERS TAKEN: I MINERAL ADMIX: MANUFACTURER CLASS: TOTAL CD <br /> REMARKS: <br /> O <br /> Z <br /> —4 <br /> AMERICAN TRANSIT MIX CO., INC. WEIGHMASTER CUSTOMER'S SIGNATURE: Z <br /> O <br /> DEPUTY RECD BY X <br /> FORM#70-02 ATM(8/99) CUSTOMER COPY <br />