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j��' <br /> SITTICKETL - FORWARD GRID <br /> INC ORP0RAT E°D 'SIP <br /> 999 South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> 4 , CA 95336 Stockton, CA 95206 <br /> Is(209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> esource Recovery (209) 982-4936 Fax (209) 465-0631 5 fi M1 ,± tr , ; Kr4 <br /> ",041},"i I DATE OUT TIME OUT <br /> I Y�}1 3 <br /> r rs <br /> VEHICLE ROLL OFF <br /> r �i r7 _ EFEF�E ORIGIN <br /> 5 �1'C <br /> 0 � w iY ti <br /> 0 9 7'1 <br /> t); s l�fi E y��T 0 5k 24 1,00 ; fF °t44ir7F�_° ,i. - �� f ! i I <br /> �I rT i i4T IS 4 ^4Q 0fh I ' ">7 <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> r! a .:G TN L AS's I I )L <br /> 1EIGHMASTER CERTIFICATE THIS 15 TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> n this certiflcafe who Is a recognized authority of accuracy as prescObed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> nd Professions Code adminlstered by the Division of Measurement Standards of the California Department of Food and Agriculture _ <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> j CHECK NO <br /> r <br /> DRIVER'S SIGNATURE - <br />