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FORWARD '-SITE TICKET GRID <br /> INCORPORATED <br /> WEIGHMASTER <br /> 91999 South Austin Road/WEI;,HING LOCATION P O Box 6336 <br /> a, CA 95336 Stockton, CA 95206 _ <br /> l (209) 982-4298/WEIGHING LOCATION Main Office (209) 466 4482 DATE IN TIME IN <br /> Res urce Recovery (209) 982-4936 Fax (209) 465-0631 <br /> S Y'Fr DATE OUT TIME OUT <br /> VEHICLE ROLL OFF <br /> REFERENCE ORIGIN <br /> CITY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 40 C(C) 0� <br /> WEIGHMASTER 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 California Business <br /> and Professions Code administered by the Dmslon of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> �i of CHANGE <br /> `r �o <br /> CHECK NO <br /> rr � ff 4 <br /> DRIVER'S SIGNATURE <br /> i <br />