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FORWARD <br /> SITE —TICKET GRID <br /> INCORPORATED 1 343901 <br /> .1Stin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> .:A 95336 Stockton,CA 95206 NANCY <br /> (209)982-4298/WEIGHING LOCATION Main Office:(209)466-4482 _ DATE IN TIME IN <br /> -wurce Recovery:(209)982-4936 Fax:(209)465-0631 7 April 2004 11 :41 am <br /> 004354 "DATE OUT TIME OUT <br /> DEN BESTS TRANSPORTATION 7 April 2004 11 : 41 am <br /> STUART LEVANG VEHICLE ROLL.OFF <br /> 820 DEN BESTS COURT <br /> WINDSOR, CA 95492 REFERENCE ORIGIN <br /> �ESCALON <br /> Contract: 4354# <br /> 00 Gross Weight 62 , 060 . 00 LB Inbound _ SCALE TICKET <br /> Stored Tare Weight 31 , 000 . 00 LB <br /> Net Weight 31 , 060 . 00 LB 15 . 53 TN <br /> CITY. UNIT ;`:DESCEIIPTION. RATE EXTENSION TAX TOTAL <br /> 15 . 53 TN 33 <br /> MANUEVIVOIli <br /> CLASS ii CONER <br /> INEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is <br /> t <br /> his 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 /> Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> NET AMOUNT <br /> TENDERED <br /> MANIFEST #138673 <br /> CHANGE <br /> CHECK NO. <br /> 1 ' <br /> DRIVER'S SIGNATURE <br /> i, <br />