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FORWARD "SITE TICKET GRID <br /> INCORPORATED ! <br />)999 South Austin Road/WEIGHING LOCATION P O Box 5335 � � , 0, WEIGHMASTER <br /> - <br /> a, CA 95336 $ Stockton, CA 95206 J ' - <br /> {209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> resource Recovery (209) 982-4936 Fax (209) 465-0631 2 r ' (- r' ° <br /> DATE OUT TIME OUT <br /> t r <br /> f ' s <br /> VEHICLE ROLL OFF <br /> - REFERENCE ORIGIN <br /> rr ter 1 <br /> ip <br /> r ; rl <br /> 'Y r <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> VVEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the fallowing described commodity was weighed measured cr counter}by a weighmaster whose signature is <br />:)n this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of DIvIslon 5 of the California Business <br /> and Professions Code administered by the Divlsbn of Measurement Standards of the Califcmia Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> r <br /> CHECK NO <br /> 1� f <br /> DRIVER'S SIGNATURE <br />• <br />