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See Reverse'Fo?Terms, - <br /> Conditions and Warnings <br /> WEIGHMASTER CERTIFICATE TICKET NUMBER <br /> THIS 11TO CERTIFY that the following described commodity was weighed, <br /> AMERICAN TRANSIT MIX C 0., INC measured, or c% i by a we g„roaster, whose signature is this <br /> rtificate,who is a recognized authorittyy of accurary,as prescribed by <br /> ChaP�er 7(commencing wrth Section'2'p of Division 5 of the California <br /> B s as and Professions Code, administered by the Division of <br /> Measurement Standards of the California Department of Food and W.PLANT ARR.JOB <br /> Agriculture. <br /> ti *LOCATION WHERE WEIGHED <br /> - (SEE REVERSE FOR PLANT I.D.) START POUR E D FSO <br /> SOLD TO: SHIP TO: 1 <br /> 1 <br /> LV.JOB ARR. T <br /> TRUCK# BATCH TIME <br /> CUST.# PROJECT# SHIP DATE *PLANT ORDER# CUSTOMER P.O. JOB/LOT# <br /> MIX# CU.YDS. LOAD# QTY.ORD. QTY.SHIP'D SLUMP USE DRIVER <br /> MIX DESCRIPTION CASH SALE <br /> UNIT.PRI EUlm U <br /> PROD. QUANTITY U/M DESCRIPTION <br /> I <br /> WATER ADDED AT CERTIFICATE OF COMPI•IANCE <br /> WE CERTIFY that the portland cement, themica!and mineral admixtures ooained in the material <br /> f r .described below are brands stated rrtand comply with specifications for: SUB-TOTAL <br /> PLANT GALS, CEMENT BRAND: TYPE:�I 4 L LOCATION: SALES TAX <br /> CHEMICAL ADMIX: BRAND: TYPE- TOTAL <br /> JOB SITE: GALS. MANUFACTURER: <br /> STANDBY TIME. 0 <br /> CYLINDERS TAKEN: MINERALADMIX: MANUFACTURER- 4 CLASS: TOTAL (� <br /> REMARKS: <br /> O <br /> Z <br /> O <br /> AMERICAN TRANSIT MIX CO., INC. WEIGHMASTER CUSTOMER'S SIGNATURE: Z <br /> ” O <br /> BY ' DEPUTY RECD BY0�-3 V <br /> FORM#70.02 ATM(8/99) CUSTOMER COPY <br />