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F0RWAv.`,.D <br /> i.IGORPORAI- ED SITE TICKET <br /> GRID <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Sox 6336 <br /> CA 95336 Stockton,CA 95206 <br /> Lard,(209)982-4298/WEIGHING LOCATION Main Office: (209)466-4482 <br /> Resource Recovery:(209)982-4936 Fax:(209)465-0631 <br /> DATE OUT TIME OUT <br /> rD <br /> E,E 11,1 E'.C, <br /> ROLL OFF REFERENCE ORIGIN <br /> G:i rl ;`i.: .�is t t_. i. .. ?' i.'.'3 i?::i.f.'2 r., —' 7 <br /> A <br /> • DESCRIPTION <br /> AMOUNT <br /> WEIGHMASTER CEIinFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmaster,whose <br /> signature Is on this certlflcate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of <br /> the California Business and Professions Code,administered by the DWIon of Measurement Standards of the Callfornia Deportment of Food and Agriculture, <br /> J 13 I f? E-4 h C U,C_.. F i j,:�.+?`. :i:>r;; <br /> fir.... ,. r^' i17?'E ., mC:}"t,'.(il.4i?_ <br /> DRIVER'S SIGNATURE X <br /> L _4r% recycled paper <br /> 't_ _ <br /> t <br /> c 3 <br /> S if ,rl 7t �'+I,x< � �i r'';• 7r.�r' � '� 1�'ti l; sl S Y+ r t,l ° _ _ <br />