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PORT <br /> 19FA <br /> COSTA <br /> ATER1ALSc ? <br /> P.O.Box so .ROOD car*uz 80.&*Dd•e .• Port COM CA$01111 s <br /> CONTRACTORQ/O0, TAG-BILL OF LADING <br /> SOURCE !/ <br /> LOT# 5U <br /> T ^� <br /> CASH SALE OATE:11VV7 <br /> TFUS� y <br /> TIME ON SCALE <br /> WEIGHT s. _ <br /> TIME OFF SCALE - - - <br /> �iv'7 l%/l/"J <br /> /�� / �• DAYIEWS NAME - .. . <br /> 'TTRUCK NO. TRAILER NO. T"LER NO. --7 Z <br /> DRIVER ON ❑ OFF 1:1 GROSS d TARE <br /> B SUB TOTAL <br /> ❑ CONTAINER % SALES TAX <br /> ❑ BULK <br /> TOTAL <br /> ` ❑ OTHER <br /> SEAL # <br /> MM <br /> PORT COSTA MATERIALS, INC. WEIGHMASTER <br /> SIGN BY: C <br /> DATE: _ 3/ �/� DEPUTY <br /> WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,-whose signature is on this certificate,who <br /> is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Professions Code, <br /> administered by the Division of Measurement Standards-of the California Depa.Went of Food and Agriculture. - No. 09219 CS <br /> TRIIf.KFR rnov <br />