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FORWARD "SITE TICKET GRID <br /> INCORPORATED _ ' ! <br /> WEIGHMASTER <br /> 1999 South Austin ROad/WEiGAiNG LOCATION P O Box 6336 - t=rift <br /> AIM, CA 95336 Stockton, CA 95206 <br /> a (209) 982 4298/wEICHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br />'esource Recovery (209) 982-4936 Fax (209) 465-0637 1 =r <br /> DATE OUT TIME OUT <br /> (1 (Y :•. r -r s .xs "+ r'-'l <br /> ..a r+-` 1 <br /> VEHICLE ROLL OFF <br /> REFERENCE ORIGIN <br /> A4 t' <br /> � f .1�" s f J l l l µ t ,t _ i z j� T 1'. <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> VEIGHMA5TER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature is <br />)n this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Cal fornla Business <br /> ind Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> Y� <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br />