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See Reverse For Terms, r"`1 <br /> Conditions and Warnings p <br /> WEIGHMASTER CERTIFICATE TICKET NUMBER <br /> AMERICATRANSIT <br /> THIS IS TO CERTIFY thx the <br /> following described commodity <br /> N TRAN S I T M IX C A I N measured, coun r—o a was weighed, <br /> oertifitate,who is a oynized igihmaityyer, howaccus'gnasure s on this <br /> Chapter 7(commencing with Section 127( of 6ivlaionr 5 afthe Cal Torn bed a r <br /> •� • <br /> ...,ness and Professions Code• administered by the Division of =�`"'�' 'O <br /> Measurement Standards of the California Department of Food and <br /> Agriculture. LV,PLANT ARR._JOB <br /> *LOCATION WHERE WEIGHED h <br /> (SEE REVERSE FOR PLANT I.D.) <br /> START OUR END POUR <br /> SOLD TO: SHIP TO: <br /> f I i-i [P I9i";I(2 j= I3C L •JOB ARR.PLANT <br /> TRUCK# BATCH TIME <br /> 01i, 4:1"' it sI�';a 11 j <br /> CUST,# PROJECT# SHIP DATE *PLANT ORDER# CUSTOMER P.O. <br /> JOB/LOT# <br /> MIX# CU.YDS. LOAD# QTY.ORD. QTY.SHIP'D SLUMP <br /> USE DRIVER <br /> W1.[ <br /> MIX DESCRIPTION <br /> CASH SALE <br /> U1WT P I E U M <br /> PROD. QUANTITY U/M DESCRIPTION <br /> WATER ADDED AT CERTIFICATE OF COMPLIANCE <br /> WE CERTIFY that the p rtland cement, chemical and mineral admixtures contained imateria <br /> n the l <br /> described below are brands stied and comply with spadfications for: SUB-TOTAL <br /> PLANT: GALS CEMENT BRAND: TYPE: r MILL LOCATION: SALES TAX 00 <br /> CHEMICALADMIX: BRAND: TYPE: TOTAL: <br /> N <br /> JOB SITE: GALS. <br /> MANUFACTURER: <br /> CYLINDERS TAKEN: STANDBY TIME <br /> MINERAL ADMIX: MANUFACTURER• CLASS: TOTAL C) <br /> REMARKS:'!. -jr 1 :. i I' `. V'L Vel <br /> 0 <br /> z <br /> J <br /> AMERICAN TRANSIT MIX CO., INC, 1 } k:; � a <br /> WEIGHMASTER CUSTOMER'S SIGNATURE: Z <br /> BY - ., c : O <br /> DEPUTY RECD BY X .aa> �. <br /> FORM#70-02 ATM,(8/9g) s, <br /> CU§T-OMER COPY ' <br />