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04/20/2004 15:46 209836 j5 GREEN VALLEY TRANS PO PAGE 02 <br /> I <br /> FORWARD <br /> 1NCORPORATED A <br /> .. EIGHMAST:ER <br /> 999 5outh Austin Road/WEIGHING LOCATION P.O.Box 6336 r• <br /> lanteca,CA 95336 Stocidon, CA 95206 <br /> andfill:(209) 9824298/WEIGHING LOCATION Main Office:(209)466.4482 DATE IN _ TIM,IE'1N <br /> esource Recovery:(209)902.4936 Fax:(209) 465-0631 ,r.I LS r j.L i I t <br /> rl:!Aq'I}i; .DATE-'011'f ':TIMP OUr <br /> ,.MEHICLE "ROCL:OFF' <br /> "TI Yv"Te' '�, r'• tl f' REFEFIENGE ORIGIN <br /> Z"T''in.NSaT LIS <br /> -iihC1und crALF TICF F-T <br /> .. .. .. . . ...Y.L,.,Y <br /> W4. ? . F i `F, <br /> tlMT..,! ,• vE50FRRTI0N::. . .. .: ,..FtATE - . 'SEIC.Y.EN9f014 „ 'tAR ,TOTAL <br /> ilii :I '.:,F•.:n... . 1 ItzOlt. <br /> NEIGHMASTER.CER11FICA(E;:,.7HI515 T.O.CERfIFY That,the,follow[ng,descrlb9d;CpTnngdj,ty wq welghed,measured,w counted by a welghmastw,whose signature Is <br /> prescribed <br /> )n'thls aerNfldpte,.whtl 16 k3J9cogriltsd ddh.00/M Mdur'=�as <br /> 1jy'Chapter 7(commenting with SWIM 1270C Dhrlibn 5 0.tMr Collfamla Min= <br /> Md'ProTessbris Code,adminl§tered by the DNI91on of Meosurement sfandorda of the GLatomic Deportment of Food aid Agriculture. •'s <br /> .' ..IEIdnBRBrI <br /> 1 OHANGE <br /> . r f <br /> DRIVER'S SIGNATURE <br /> II <br /> I, <br /> i <br />