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STATE OF CALIFORNIA <br /> DEPARTMENT OF FOOD AND AGRICULTURE Af forbaAaest <br /> DIVISION OF MEASUREMENT STANDARDS 416 2nd Street <br /> Galt, Ca. 95632 <br /> PLACED IN VI T 209 744-0112 Fax 209 744-0116 <br /> COUNTY: <br /> NAME OF CUSTOMER: <br /> WEIGHING OR MEASURING DEVICES PLACED IN SERVICE OR REPAIRED <br /> NUMBER MODEL SERIAL RED TAG <br /> OF DEVICES BRAND NAME NUMBER NUMBER TYPE OF DEVICE CAPACITY NUMBER <br /> Tad►1C��r�* Eie�1S <br /> 16A-5- <br /> REMARKS: -' <br /> 6t-Ack- Iry o0 <br /> 6AS <br /> RED TAGS ENCLOSED IF APPLICABLE DATE OF WORK COMPLETED DATE MAILED <br /> ❑ YES ❑ NO <br /> J 2- <br /> PRINT NAME OF REPAIRMANSIGNATU REPAIRMAN I.D. NUMBED <br />