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I Mill <br /> I N C O R P 0R A T L D SITE TICKET I GAIp <br /> ,9999°SOuth Austin ROad/WEIGHING LOCATION `P O Box 6336 II WEiGHMASTER <br /> Ma►ifeca,CA 95336Stockton,CA 95206 i I �E <br /> ,Landfill x(209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 <br /> Resource Recovery (209) 982-4936 DATE IN II II TIME IN ' <br /> Fax (209) 4fi5-0631 <br /> DATE OUT" r TIME OU <br /> y a {� <br /> J. i <br /> t _ <br /> VEHICLE it 11 ROLL OFF <br /> r _ <br /> w �tYx, rto+ F�ii`�� REFERENCE II ORIGIN <br /> x I <br /> t .1 <br /> a `sO � f { n o <br /> - F r' iZ - y r YY FF <br /> ?t3 t19F <br /> Net W . IQt3 !` ..�'i.�fi iw.Iii f p I <br /> i '-UNIT DESCRIPTION <br /> wt tr_ RATE EXTENSION' TAX TOTAL <br /> 7y <br /> 7� <br /> a�YR.''yam N r <br /> a>itGHMASTER CERTIFICATE THS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is <br /> Is,Cerrt ficarte'who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Bus ness <br /> drRoYesstons Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture�II <br /> �;k r <br /> NET AMOUNT <br /> ARID <br /> aa r I'ilia f ; TENDERED <br /> CHANGE <br /> 4Y <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> ' I I <br /> rl <br /> FI <br /> F' <br /> � h f <br />