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��® F SITE TICKET GRID <br /> �� INCORPORATED <br /> 9999 South Austin Road/WEIGHING LOCAT)ON P O Box 6336 WEIGHMASTER <br /> Manteca, CA 95336 1 Stockton, CA 95206 <br /> Landfill (209) 982-4298/ WEIGHING LOCATION Main Office (209) 46 482 DATE IN TIME IN <br /> ce Recovery (209) 982-4936 Fax (209) 465 063 <br /> DATE OUT TIME OUT <br /> VEHICLE ROLL OFF <br /> REFERENCE Y ORIGIN <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> Dr)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 Division of Measurement Standards of the California Deportment of Food and Agriculture <br /> NET AMOUNT <br /> m TENDERED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> i <br />