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FORWARD P SITE TICKET GRID <br /> INCORPORATED r <br /> 9999 S,,th Awtln Raad/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> M�Qgeca, CA 95336 , Stockton, CA 95206 <br /> WI (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> R rce Recovery (209) 982-4936 Fax (209) 465-0631 <br /> DATE OUT TIME OUT <br /> C d VEHICLE Y ROLL OFF <br /> REFERENCE ORIGIN <br /> L <br /> x, <br /> OTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> NEIGHMASTER CERTIFICATE THIS 15 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 /> and Professions Code administered by the Division at Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> r <br /> t CHECK NO <br /> , 4r. <br /> DRIVER S SIGNATURE <br /> 1•l <br />