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1 � FORWARD 51TE TICKET GRID <br /> INCORPORATED <br /> 9999 South Austin Road/wEIGHING LOCA iON P O Box 6336 WEIGHMASTER <br /> a CA 95336 <br /> � Stockton, CA 95206 ' <br /> L209)982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> Resource Recovery (209) 982-4936 , _ Fax (209) 465-0631 <br /> DATE OUT TIME OUT <br /> r r <br /> ' f7 VEHICLE ROLL OFF <br /> 1 ! cD C REFERENCE ORIGIN <br /> qt, r tjr <br /> rt <br /> Fi� <br /> ! i r <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> r '( <br /> v <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was 4.14h.d rr) fired or counted by a weighmoster whose signature is <br /> on this certificate who is a recognized authority of accuracy as prescribed by Chapter 7( ommgncir with Ghon 12700)of Division 5 of the Catifornia Business <br /> and Professlans Code administered by the Division of Measurement Standards of the Califo}nlrabeporf enf-gy'Food and Agri tui <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> r r CHECK NO <br /> r r <br /> DRIVER'S SIGNATURE <br /> i <br />