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LFORWARD ' <br /> I_NCO�RPORATED <br /> 9999 South Austin Road/WEIGHING LOCAT18N P O, Box 6336 WEIGHMASTER <br /> Ma4ft CA 953.36 Stockton, CA 95206 ��e <br /> FanaW209) 982-4298/WEIGHING LOCATION Main Office- (209) 466-4482 W DATE IN TIME <br /> Resource RecoveryIN <br /> (209) 982-4936 Fax (209) 465-0631 <br /> DTE OtlT TIME OLIT ` <br /> STOCKTON PETRO! EUm COWANY � <br /> JAY MC 11 BATH HI LE r LR051L OFF <br /> 1`05 WAVY DRIVE <br /> STOCKTON Cts `13206 REFO <br /> ORIGIN <br /> STOCKTON FIETROLEUM CO <br /> GrovT Weaght: 81360 LB .InbOUnd Charge t'scl°et- � <br /> Scale P. Tire 0sight• 2,: 0 0 LR <br /> QTY w I �� a sq <br /> L LRATE EXTENSION TAX TOTAL - <br /> Etw a T© Claus 11 011 by Ton <br /> r"` t <br /> �4 <br /> 'kf <br /> WE[GHMASTER CERTIFICATE THIS IS TO CERTIFY That ilia following described commodity was weighed,measured or counted by a welghmaster whose signature Is N AMOUNT <br /> on th It! ( VROG +tied 044 VYVG' ccuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> an Io ad nistered by t:Measurement Standards of the CalftOmla Department of Food and Agriculture <br /> TENDERED <br /> TRAILER # I GT I S 1637 <br /> ichedu1e a4 hours Tri advance d treed,,, with the land—ft I I . GRANGE <br /> Call (2091OL92-4298 to schedule. <br /> Drive sa f e 1'/ I f CHECK NO <br /> DRIVER'S SIGNATURE iia►ecycled paper <br />