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D. END DUMP E TRANSFER C] VACUUM CI VAN <br />[DROLL OFF- L.FLAT BED CI <br />NO. 4 7 L' <br />ONWILLOW, wEIGHMASTER CERTIFICATE <br />o <br />s h this certificate, who , poliole5.1( allffliniasered — (commencing with Section 12700) of Division 5 of <br />tBuultsuirnee.ss anu <br />uy the Division of <br />'"""tiferherff Standards of the California Department of <br />Food Ca and °r Angric <br />cLEANH AR13°Rs Burr <br />TIFY that the leo ilIoyfeeertb3dy 1:C11111°0Y MAAS weighed. measured THIS IS TO GER . a mcoge• Cod% as Prescribed by ' c". cotsSed by a weighmaster, whose signature i <br />800tIrecy <br />-- <br />7- - <br />PROFILE NO <br />111712°21 <br />ID 34( <br />Nogg TIT <br />f <br />VIS pH SUL 1 CYA OX <br />- <br />FL FLASH 20% <br />I <br />I <br />OTHER: <br />IC CR FIR B W vv. B —r LAB -SOLID <br />BULK <br />WORK <br />SHEET <br />LAND <br />TRACK <br />W <br />SO <br />DEPUTY GROSS WT. BY: <br />TARE WT BY: <br />WEIGHING <br />LOCATION: <br />GENERATOR <br />DEPUTY <br />2500 W. LOKERN ROAD <br />BUTTONWILLOW, CA 93206 <br />DATE: <br />- RE' 1\1_01 <br />BIN DROP FULL: <br />MOVE BIN TO: OHS 10(11.4 REviSED IS AN <br />WEIGHMASTERCLEANHARBORS BUTTONVVILLOW, LLD <br />DATE <br />DATE <br />TRANSPORTER <br />MANIFEST NO. <br />SERVICE ORDER NO. <br />BIN TRACKING <br />DRUM NUMBER: <br />COMMENTS: <br />DISPOSAL OCA <br />DRIVER'S NAME <br />PRINTED <br />------ — <br />DRIVER'S NAME <br />SIGNATURE <br />- <br />TRACTOR NO. <br />TRACTOR <br />LIC, NO. <br />TRAILER LIC. NO <br />BIN NUMBERS: