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w�P � Delivery Tag <br /> Western Stone Products, Inc. Weighmaster Certificate <br /> A CBR Company 1022 Woodland Avenue • P O. Box 3171 <br /> p y Modesto, CA 95353 <br /> 1-800-676-3201 • (209) 523-3201 <br /> WEIGHED AT <br /> 1022 Woodland Ave. 3371 N.Highway 59 711 S.Madison Lathrop Rd.b WR 1800 Paulsen Road 8181 W.Bus Loop 205 <br /> 51 Modesto,CA 95351 52 Merced,CA 95340 53 Stockton,CA 95203 54 Manteca,CA 95336 55 Turlock,CA 95380 56 Tracy.CA 95376 <br /> LOAD t LEAVE PLANT ARRIVE JOB START POUR END POUR LEAVE JOB ARRIVE PLANT <br /> WATER ADDED ON JOB AT CUSTOMER <br /> CUSTOMER'S REQUEST GALLONS SIGNATURE X <br /> WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose <br /> signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7(commencing with Section 12700) of Division 5 of the <br /> California Business and Professions Code, Administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> CAUTION: CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN. <br /> PLANT TICKET NO. ORDER NO. CUSTOMER NO. SOLD TO: DATE <br /> 5.1 77j7,)jA <br /> DELIVERY ADDRESS ZONE DRIVER P/O NUMBER <br /> _A'r1fl,,Qf1 JITKE 1 . `f 1' <br /> SPECIAL INSTRUCTIONS PROJECT NO. <br /> SPECIAL INSTRUCTIONS: JOB NO, <br /> TRUCK N0. LOAD SIZE MIX CODE SLUMP %AIR %CALC. SPECIAL INSTRUCTIONS CONT. <br /> LOAD CUMULATIVE ORDERED UNIT OF PRODUCT PRODUCT UNIT <br /> QUANTITY QUANTITY QUANTITY MEASURE CODE DESCRIPTION PRICE AMOUNT <br /> Minimum Load Chg <br /> WESTERN-STONE PRODUCTS,INC. SUB-TOTAL <br /> WEI MASTER WESTERN STONE PRODUCTS, INC. ASSUMES NO TAX <br /> RESPONSIBILITY FOR DAMAGE INCURRED IN <br /> / DELIVERING MATERIALS INSIDE THE CURB LINE. <br /> BY <br /> DEPUTY TOTAL <br /> CUSTOMER <br />