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� f <br /> FOS R`W RD BITE TICKET f GRID <br /> �+b INCORPORATED <br /> X999 '.0 Austin Road/WEIGHING LOCATION P O Box 6336 <br /> WEIGHMASTER <br /> ca, CA 953SL Stockton, CA 95206 �' r <br /> (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATI=IN TIME IN <br /> Zes urce Recovery (209) 982-4936 Fax (209) 465-0631 A I- "�," "' 1 2 1 Jrs i - ';� <br /> i0LG)``'f♦,r/ DATElOUT/ } � TIME OUT t{ <br /> p�P <br /> T[ � 1� ' �Y 1 �- - VEHICLE ROLL OFF <br /> IN'Y NdJ _�r..� r � 9E� <br /> }n f t� �."i'' k� REFERENCE ORIGIN <br /> J I L r <br /> Y`e'k,t"T <br /> 7fJ yr "4 l tiY,i 1 8r, f f!l <br /> Ar G j!O L 1 G't �f I 4 1 f(jJ ��C <br /> /{�'r W ci�.: a rl l I ��S t` � e S,?!4 � <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> o A <br /> OVEIGHMASTER CERTIFICATE THIS 15 TO CERTIFY That the following described commo 3iwas weighed measured or counted by a weighmaster whose signature is <br /> Dn this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> and Professions Code administered by the DMslon of Measurement Standards of the Ca;lfornia Department of Food and Agriculture _ <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE ✓ � ~ '" "" <br />