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FORWARD SITE TICKET GPiD <br /> INCORPORATED <br />---------------- <br /> 9999 South Austin Road/WEIGHIf, LOCATION P O Box 6336 WEIGHMASTE:R <br /> Ma teca, CA 95336 Stockton, CA 95246 <br /> L (209) 982-4298/WEIGHING JCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> R ce Recovery (209) 982.4936 Fax (209) 465-0631 r <br /> DATE OUT TIME OUT <br /> - t r Sri <br /> .y 6 0 l o r VEHICLE ROLL OFF <br /> REFERENCE ORIGIN <br /> i r <br /> ? <br /> QTY W UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> _ r <br /> NEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> m this certificate who is a recognized authority of accuracy as proscribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> Ind Professions Code administered by the Division of Measurement Standards of the California DopWment of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> CHECK-NO <br /> r <br /> yt i <br /> DRIVER'S SIGNATURE <br /> • <br />