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FORWARD <br /> SITE` KET .. GRID <br /> INCORPORATED J4��_:; <br /> 9 South Austin Road/WEIGHING LOCATION P.O. Box 6336WEIGHMASTER <br /> . t <br /> nteca,CA 95336 Stockton,CA 95206 �'y 0 R i <br /> .andfili:(209)981-4298/WEIGHING LOCATION Main Office:(209)466-4482 IRATE IN TIME IN <br /> tesource Recovery:(209)982-4936 Fax:(209) 465-0631 �' '- .t = — ` <br /> TIME OUT <br /> t I` B "T'E '+ f_ gym <br /> 7-i ; R T '._ t f t F'l+_: _ XIEHICLE ROLL OFF <br /> !r d LYS CI DSR, Ci-1 �'REFERENCE, : ORIGIN <br /> QTY.:; .. SUNIT "r D�SId1E'TION RATE ,, EXTENSION TAX TOTAL <br /> TAU <br /> CM A 0% COVER <br /> LAOS 11 <br /> NEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmoster,whose signature is <br /> 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 /> d Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> NET AMOUNT <br /> _ TENDERED <br /> /J CHANGE <br /> CHECK NO. <br /> tDRIVER'S SIGNATURE I <br />