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(jtF) F0RW RD 51TE TICKET GRID <br /> INCORPORATED - <br /> 999 South Austin Road/WEIGHING LocarloN P O Box 6336 WEIGHMASTER <br /> t , CA 95336 Stockton, CA 95206 y`�r"a:w a <br /> a (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> esource Recovery (209) 982-4936 Fax (209) 465-0631 <br /> DATE OUT TIME OUT <br /> qO �r VEHICLE ROLL OFF <br /> REFERENCE ORIGIN <br /> h Z'-G Sy IW yFr�;t 5; <br /> QTy UNIT DESCRIPTION HATE EXTENSION TAX TOTAL <br /> 1EIGHMASTER CERTIFICATE THIS 15 TO CERTIFY That the following described commodity was weighed measured or counte y a welghmaster whose signature is <br /> n this certificate who Is a recognized outhorrty of accuracy as prescribed by Chapter 7 (commencing with Section 12700)of Divlslon 5 of the California Business <br /> nd Professions Code administered by the Divlslon of Measurement Standards of the Colrfomla Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> r CHECK NO <br /> i r <br /> � s <br /> DRIVER'S SIGNATURE <br />