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GRID <br /> FORWARD SITE TICKET <br /> �a <br /> I N C 0 R P 0 R A T E D <br /> WEIGHMASTER <br /> jI h Austin Road/WEIGHING LOCATION P O. Box 6336 <br /> n ,CA 95336 Stockton,CA 95206 TIME IN <br /> Idfili (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN <br />,ource Recovery (209) 982-4936 Fax (209) 465-0631 n ' :t `) <br /> DATE OLIT } 1 tt TIME OUT <br /> 1 <br /> VEHICLE ROIL OFF <br /> // <br /> ! TCy <br /> ry,I,I r r S, i M -I <br /> r 1 1 REFERENCE ORIGIN <br /> i V <br /> K C y.. <br /> - <br /> 1 f. f <br /> f( ' N <br /> yTOTAL'" <br /> QTy UNIT DESCRIPTION RATE EXTENSION TAX <br /> 1IGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is <br /> n this certlflcote who is a recognized authority of accuracy as prescrtbed by Chapter 7 (commencing with Section 12700)of Division 5 of the California Business <br /> nd Professions Code administered by the Divlston of Measurement Standards of the California Department of Food and Agriculture NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> ! CHECK NO <br /> 1,4 ori <br /> DRIVER'S SIGNATURE <br />