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04 F WA D SITE< 4 CKET GRID <br /> '' {r-• -:,• �; is"`=" . <br /> INCORPORATED <br /> WEIGHMASTER <br /> 9999 South Austin Road/wEIGHING LOCATION P.U.Box 6336 <br /> Manteca,CA 95336 Stockton,CA 95206 t DATEIN TIME iN - <br /> Landfill:{249)98299-4298/WEIGHING tocATlaN Main Office:{2U9}466-44$2 l;; ;_. <br /> Resource Recovery:(249)'982-4936 Fax:{209}465-0631 <br /> DATE OUT TIME OUT c <br /> If[ <br /> r <br /> ."''t T i <br /> r)L.LEt,; 2 VEHICLE ROLL.OFF <br /> UWTED, F" <br /> REFERENCE ORIGIN <br /> r' tie: Weight i`55 )O L�, t� <br /> Q7y UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> 1().00 DRUM Zlass <br /> fg <br /> i <br /> :I <br /> WEIGZASTER-CERTIFICATE :7H1S:IS..T0,Cr:RTIFY That.the fdlawinp descrfb0d.commodity was weighed,measured,or daunted by o weighmoster,whose sionaf[I[e is <br /> on this certfficote,who is.o:recognize::auitxorlty c&accurocy,;os prescribed:by Chooter 7(commencing with Section 12700)of Wsioh 5:of the qff...rria 9ustness. <br /> ` and Professions Code.odministeYed lay the:.DivtsiW of McOSUrement Standards of the Copfornia Department of Food and Agriculture.. <br /> `. NET AMOUNT <br /> :1 E)1 D si} TENDERED s <br /> Sch` #dU:I 24 j"'OUr S 3 n ad�,r"anc :d' r eCLt JL r with th-4. �ict,—U 11 Li CHANGE <br /> Malk420-C-11)cl. <br /> :to <br /> }; t 1. CHECK NO. <br /> recycled paper <br /> I0RIVER'S:SIGNALTURE <br /> a � <br /> • n <br /> u' • <br /> x <br /> it <br />