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(J", <br /> P F 0 RWA R D SITE <br /> INCORPORATED <br /> MK GRID <br /> 999 South Ausun Road/wFfGHING LOCATION 4 O Box 6336 MASTER <br /> 4a eca, CA 95336 5tocktan, CA 95206 <br /> (209) 982 4298/WEIGHING tOCATION Main Office (209) 466-4482 TIME IN <br /> e ce Recovery (209) 982-4936 Fax (209) 465-0631 <br /> TIME OUT <br /> ROLL OFF <br /> AEFEFIENCE ORIGIN <br /> r Y, <br /> 0 <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> . • 7 �� L J l x ' r + <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmoster whose signature is <br /> i this certlflcafe who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Californla Business <br /> id Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT _ <br /> • <br /> r _ TEAfDERED <br /> CHANGE <br /> 7 CHECK NO <br /> DRIVER'S SIGNATURE <br /> 1! <br />