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Y F <br /> 4 �!� FORWA RD <br /> INCORPOR . TED <br /> SITE TICKET GRID <br /> � ! <br /> )999 South Austin Road/wEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> Via teca, CA 95336 Stockton, CA 95206 <br /> t r <br /> W1WI (209.) 982 4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> ce Recovery (209) 982-4936 Fax (209) 465-0631 <br /> h DATE OUT TIME OUT <br /> i VEHICLE ROLL OFF <br /> REFERENCE ORIGIN <br /> - <br /> Aj <br /> t <br /> � rr <br /> I <br /> QTS' UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> VEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weigflrri j whose signature is <br /> m this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Divisio roof he California Business <br /> ind Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture _ <br /> NET AMOUNT <br /> S r <br /> !i s <br /> � TENDERED <br /> I <br /> CHANGE <br /> _ CHECK NO <br /> DRIVER'S SIGNATURE <br />