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(j�)p FOWA INCORPORATED SITE TICKET GRID <br /> 9999 South Austin Road/WEIGHING LOCATION— P O Box 6336 WEIGIHMASTER <br /> Manteca, CA 95336 Stockton, CA 95206 <br />!_a (209) 982-4298/WEiGHING LOCATION Main Office (209) 466-4482 <br /> R e Recovery (209) 982-4936 Fax (209) 465 0631 DATE IN TIME IN <br /> DATE OUT TIME OUT <br /> VEHICLE ROLL OFF <br /> REFERENCE ORIGIN <br /> r - + <br /> ! t <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> EIGHMASTER CERTIFICATE THIS IS To CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> i this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Div+slon 5 of the Callfornla Business <br /> id Professions Code administered by the Division of Measurement Standards of the Colifornla Department of Food and Agrlcuiture <br /> NET AMOUNT <br /> it L TENDERED <br /> � r <br /> s <br /> � f i <br /> DRIVER'S SIGNATURE <br />