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FORWARD TICKET GRID <br /> V INC DRP ORA TED <br /> 9999 South Austin Road/WEEGHING LOCATION P Q Box 6336 WEIGHMASTEH <br /> Manteca, CA 95336 Stockton, CA 95206 <br /> (209) 982-4298/WEIGHING LOCATION Main Office (209) 466 4.482 DATE IN TIME IN <br /> R ce Recovery (209) 982-4936 Fax (209) 465 0631 <br /> 1 v DATE OUT TIME OUT <br /> r VEHICLE ROLL OFF <br /> ,, REFERENCE ORIGEN <br /> ' - <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL. <br /> HEIGH MASTER CERTIFICATE THIS fS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br />:)n 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 /> Ind Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NI<T AMOUNT <br /> • TENDERED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br />• <br />