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RWARD "SITE TICKET GRID <br /> r O R P O R A T E D <br /> 9999 South Austin Road/WEIGHING LOCATION P O BpxAy336" WEIGHMASTER <br /> Manteca, CA 95336 Stockton, CA 95206 <br /> OI (209) 982-4298%WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> c'e Recovery 1209) 982-4936 Fax (209) 465-0631 - - ,, <br /> DATE OUT TIME OUT <br /> VEHICLE ROLL OFF <br /> REFERENCE ORIGIN <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> t > _ s <br /> i <br /> d1EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> m this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Californfa Business <br /> ind Professions Code administered by the Division of Measurement Standards of the Cafifornfa Department of Food and Agriculture _ <br /> NET AMOUNT <br /> iTENDERED <br /> f.- <br /> CHANGE <br /> i f f CHECK NO <br /> DRIVER'S SIGNATUREAi <br /> r <br />