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FORWARD <br /> SITE TICKET CaRID _� <br /> INCORPORATED <br /> 9999 South Austin Road/WEIGHING LOCATION P O Box�a36 WEIGHMASTER <br /> Nca, CA 95336 Stockton, CA 95206 <br /> (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> i ce Recovery (209) 982-4936 Fax (209) 465-0639 <br /> 4 <br /> $ DATE OUT TIME OUT <br /> VEHICLEROLL OFF <br /> f <br /> REFERENCE ORIGIN <br /> ' r <br /> r � <br /> i <br /> a ,r <br /> QTY UNIT DESCRIPTION s RATE EXTENSION TAX TOTAL <br /> NEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a we�ghrnaster whose signature is <br /> in this certificate who�s a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Colifornla Business <br /> Ind Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> • r TENDERED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE, <br />