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FORWARD • <br /> :SITE TICKET GAID. <br /> INCQRPORATED O:L '5tahl :r <br /> 99 South Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> Ni-INC,rnteca,CA 95336 Stockton,CA 95206 y <br /> odfill:(209) 982-4298/WEIGHING LOCATION Main Office: (209)466-4482 DATE IN TIME JN <br /> source Recovery: (209) 982.4936 Fax: (209) 465-0631 i' (-(9LA-tcc("-'7' 2'r, 35 pm' <br /> 00359- DATE OUT TIME OUT <br /> FG u E :35 Pm <br /> GARY PFORR :VEHICLE ROLL OFF <br /> IU31 DETROIT AVE, i� U <br /> CONCORD CA 95418 REFERENCE - I ORIGIN <br /> Contract: 3699# TRACY <br /> Gross Weight. 79.200.00 LB Inbal_trld — SCALE TICk.ET <br /> Stored 'Tare Weight 33.980.w LE <br /> Net Weight. 45.320.00 LD c_'.Gio Ir N' <br /> QTY. UNIT ''(' DESCRIPTION ' .RATE -. EXTENSION TAX TOTAL <br /> EE.be TIN L 2 CLI?SS I I CO'dER SOIL <br /> EIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmoster,whose signature Is <br /> i this certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of DlNsion 5 of the California Business <br /> A Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> :`-NET AMOUNT. <br /> +TENDERED <br /> MANIFEST #50008 <br /> - CHANGE' <br /> CHECK NO.: <br /> DRIVER'S SIGNATURE <br /> _.—..—.--_..,—.--.---^---..—.-------------------- --- <br />