|
r I
<br /> i
<br /> . I
<br /> 1�1 FORWARD
<br /> s51TE 1CKE7 fipr tie;+?:.C� •�i s,�:-"ti,�,: :5_CsRID ,a:'�� �,�
<br /> `►� I;_NC0RP0RA-T,,ED
<br /> ;La:#�.,�.
<br /> 9999 South Austin Road/wEidrrtNd LOCATION P.O. Box 6336
<br /> Manteca,CA 95336 Stockton,CA 95206 ,rte
<br /> Landfill:(209) 982-4298/WEIGHING LOCATION Main Office: (209)466-4483 ���_ ,� ,4,'.DATE IN �_,� r,�L; ��:; " TIME IN sss•i �
<br /> Resource Recovery:(209) 9824936 "Faz:(209)465-0631 rt _ + q-)A 1 V, , 2
<br /> „,,I3� „t?<',r�"';D;ATEOUT�.,"s;'•:!, a�+.,�cs�`-z..,,o,f,:.�'.:i)Nr,TiME OUT."
<br /> k?'3-r'x� fir k a S�S' ty,EHICLE% k"sr
<br /> '"Ei TE Tn
<br /> x Gr,,rRlt" ENt t; c ORIGIN
<br /> s t "1m ,# '=.irk -T1.1ORN'f QN
<br /> 00 Grose 63.r 2C) .00 ax SCAIajF, 'r_C'KET
<br /> stored Tare Weiq4t 33,34000 LB
<br /> ' rlll, ni Ci ' P.g ., _kin. '!' _ " 1 eE
<br /> QTY'; UNITatx.,; •:rxs t.. r D SCiiIPTIONrfi71TE, „ F ,._ EXTEN4ION:l,y.' . ,. '.;SnTAX4.,_,.':" CTOTAL
<br /> 43 '11 CLASS XI SOIL
<br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed.measured,or counted by a welotunosler,whose signature Is
<br /> on this certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business
<br /> and Professions Code,administered by the Division of Measurement Standards of the California Deportment of Food and Agriculture.
<br /> NET.'AMOUNT,a:
<br /> TENMREM'4
<br /> i
<br /> DRIVER'S SIGNATURE
<br />
|