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. <br /> FORWAZD <br /> INCORPORATED ' ' <br /> 1999'^­dh Austir Road/WEIGHING LOCATION P.O. Box 6336 <br /> Aan ":A 95336 Stockton,CA 95206 WEIGHMASTER <br /> And�1209)982-4298/WEIGHING LOCATION Main Office:(209) 466-4482 "r <br /> (esource Recovery:(209) 982-4936 Fax:(209) 465-0631 <br /> DATE OUT TIME OUT <br /> -TA CA <br /> +._i�'��.1��"_F'`;::;r�ii,_, i::�l''ii .��"I.i�'.I!''I�;I�i-4•ai._ - -., ,._ �' - ._ � r ., <br /> •• REFERENCE ORIGIN <br /> • <br /> DESCRIPTION <br /> • <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a welghmaster,whose <br /> signature Is on this certificate,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 Division of Measurement Standards of the Calffomla Department of Food and Agriculture, <br /> EDS <br /> its;, tt ti.:•i�Fti:•E':�,.... .i <br /> ... 1,..eti .- j .� r <br /> DRIVER'S SIGNATURE X�-'���_ � / <br /> ,... - ,. .. iA�recycled paper <br /> z. <br /> r r } cJ , 3 r °' .1 4 - Y �, Y�}, r• a t r <br /> i 'r �•- ' � y '{' :,' ? ;• a 1St - i } y v ' }+. r � 1 r 1 ��.. r -,'SY � � > t � y 1 <br /> -- - _ - <br />