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1FORWARD SITE T1CtEET GRID <br /> INCORPORATED <br /> 41 344532 <br /> 9 South Austin Road/WEIGHING LOCATION P.O. Box 6336 „- WEIGMMASTER <br /> nteca,CA 95336 Stockton,CA 95206 VICTORIA <br /> .andfill:(209)982-4298/WEIGHING LOCATION Main Office:(209)466-4482 :@ATE"IN`> TIME IN <br /> ource Recovery:(209)982-4936 Fax:(209)465-0631 8 April 2004 4 : 07 pm <br /> 004354 DATE:OUT' TIME OUT <br /> DEN BESTS TRANSPORTATION 8 April 2004 4 : 07 pm <br /> STUART LEVANG VEHICLE''- ROLL OFF <br /> 1 820 DEN BESTS COURT P <br /> WINDSOR, CA 95492 REFERENCE ORIGIN <br /> Contract: 4354# SCALON <br /> Gross Weight 72 , 780 . 00 LB Inbound - SCALE TICKET <br /> Stored Tare Weight 31 , 400 . 00 LB <br /> Net Wei ht 41 780 . 00 LB 20 . 89 TN <br /> QTY.' ` .`1NIT, 2 ; „ :[ESGRIPftON = RATE EXTENSION TAX TOTAL <br /> 20 . 89 TN 33 Sroce"Mab T& <br /> 1CLASS 11 CON' R <br /> OYER <br /> 1 <br /> IGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmaster,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 /> MANIFEST #138674 <br /> CHANGE <br /> CHECK NO. <br /> V <br /> DRIVER'S SIGNATURE L.t <br /> 1 <br /> ' 1 <br /> i <br /> 1 <br /> 1 <br /> 1 <br />