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----------------- <br /> INCORPORATED SITE TICKET <br /> RID <br /> 1a _a ! - <br /> r4 Austin RoadAvEIGHING LOCATION P O Boz 6336 <br /> eca, C1 95336 Stockton,CA 95206 WEiCHMASTER <br /> fell.(209) 982-4298 I WEIGHING LOCATION Main Office-(209) 466-4482 _ <br /> till. <br /> Recovery (209)982-4936 Fax (209) 465-0637 ; E+n <br /> DATE IN -TIME IN <br /> T 6a;:A j <br /> G)`i €„ <br /> IGH—DATE OUT TIME OUT <br /> --:e1K 4L—= IFA 45x6 <br /> VEHICLE ROLL OFF REFERENCE ORIGIN <br /> r <br /> Scale '-Sro-94 Weiceit -'=S44-,1 LEE <br /> Scale c. Ta-116 ig-it IZ;2e'"- LS <br /> QTY DESCRIPTION AMOUNT <br /> GWASTR CBSffIfICAEE THSIS-M C:FRnFYTnat the famwirsg described commodity was weghed.meaaued or counted by orwesghmaster whore is an ttus certi8cateawho ma recognized auth oro of•occaracy,as prem ibed by Chapter 7(cammencing wdh Section 12700)of Dh mon 5 of <br /> the Ca¢faizfa Rzhf ss 0ndRn7fe'2o►zsC0de adm,nk&aby tFse DNigonof Measurement Sfendaids of the Ga#4f a Depastmentof Faad and Agsicunure <br /> NET AMOUNT' <br /> tr i�x <br /> 47 "tom r_ t�pkfe TENDERED <br /> ` '.�^r' •-`.RJlir rF-I_(r`1 ' Ftp of S +' <br /> r - <br /> Ca i �c �C- edvtI,G a � _ _ - "ti ' CHANGE _ <br /> DRIVER'S SIGNATURE X _ ; f' 1 __ s ' , '} -I}"►SP ' <br /> S <br />