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FORWARD <br /> Lib SITE TICKET GRID � <br /> f INCORPORATED _ <br /> 999 South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> 1a a, CA 95336 <br /> ( Stockton, CA 95206 <br /> 209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> e ti ce Recovery (209) 982"4936 Fax (209) 465-0631 - `' ` <br /> DATE OUT w TIME OUT <br /> i r ' *',j VEHICLE ROLL OFF <br /> REFERENCE ORIGIN <br /> { cry .. � i i >_4� r} a , t" t l" _L ,. ' � !••-, <br /> QTY UNIT DESCRIPTION _ RATE EXTENSION TAX TOTAL <br /> P <br /> Q <br /> 1EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmastei 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 Callfornla Business <br />'id Professions Code administered by the Diufsfon of Measurement Standards of the California Department of Food and Agriculture _ <br /> NET AMOUNT <br /> r <br /> • Y <br /> � y TENDERED <br /> CHANGE <br /> r <br /> CHECK NO <br /> Y7 <br /> DRIVER'S SIGNATURE <br />