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F. FOUVARD <br /> , <br /> la^Q� P O R A T E D SITE I -r- 1TICKE7 `" GRID I <br /> I I I <br /> 1999 South Austin Road/WEIGHING LOCATION P O Box 6336 " 1 WEIGHMASTER <br /> 4 �CA 906 Stockton,CA 95206 '°, PONCE <br /> an 209) 982-4298/WEIGHING LOCATION Main Office'(209) 466-4482 DA IN TIME IN <br /> mource Recovery (209)982-4936 Fax (20° 6s-0631 <br /> 12 , 17 Q7 t t ,214 <br /> 644:'l x DATE OUT TIME OUT <br /> STOCK;Otj PETROLEUM COMPANe t+21/ t' 07 11 .-+7 <br /> ,.TAY 116 THATV ��� � 1` 'tr}4 ''+ VEHICLE ROLLOFF <br /> 'aTOCK:'t"Ohf REFERENCE IORIGIN <br /> 5TOCk TON PETKOLEUM CO <br /> Scale 1 Grose Leight ??1840 LF, InboLind - Charge tic) of <br /> Sf--ala E Tare Weight 29140 LB <br /> d W t 5004 J L B <br /> A ��tQTY` N DE a 2"—IRATE. EXTENSION TAX TCTAL <br /> 25.02 TONS Ir I as� 11 Sol. 1 by Ton <br /> 40, � ,,i pall,'r ` V �av� <br /> - I <br />'EIGHMASTkItE I IS TO C�IIFY pihe following described commodity was weighed measured or counted�y a welghmaster whose signature Is NET AMOUNT <br /> n this rtl �p ,fed fi i t;o"ccuracy as prescribed by Chapter 7(commencing with Sectlon 12700)of Dlvlslon 5 of the Callfornia Business <br /> Id IIIMffiMdAMfr*1nWArPfj by f64FDtvj*A U349 surement Standards of the Caufomla Department of Food and Agriculture <br /> - TENDERED <br /> T3=tF3 li r f # I3T'm 7 � <br /> iM a1dv,ance ,direct l t ws th the lamdfi l l . CHANGE - <br />+ <br /> Cell (201? )c'+82-42 8 tO ZChedul t . <br /> I <br /> rjr1•�e S2fe1,,, I t �' CHECK NO <br /> A <br /> DRIVER'S SIGNATURE ��recycfed paper , <br />