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(4 <br /> CROSBY&OVERTORINC. <br /> ENVIRONMENTAL SERVICES <br /> 1630 W. 17th Street • Long Beach, CA• 90813 <br /> (562) 432-5445 <br /> Weigh Ticket of Number 219 <br /> WEIGHMASTER CERTIFICATE <br /> Generator/Owner/Agent Name .4- �- Gross Only <br /> Transporter Vehicle License No. <br /> Consignee:Crosby&Overton, Inc. f �, <br /> Manifest Number ine ItemNumb b) l <br /> Number of Containers being weighed <br /> Container Type DM DF DW CF BA Triwall Tote Other <br /> (circle one) <br /> Description of Material /Commodity �/ N � -'e" <br /> C&O Document Number <br /> 12 ptSignature of Weighmaster <br /> Date <br /> Z22 <br /> WEIGHICIIASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted <br /> by a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy, <br /> as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California <br /> Business and Professions Code, administered by the Division of Measurement Standards of the <br /> California Department of Food and Agriculture. <br /> Weighmaster license No. 009152 <br /> Comments: <br /> OFFICE COPY <br />