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GRID <br /> IIT s E <br /> TICKET --• <br /> (f., <br /> INCORPO <br /> RATED WEIGHMASTER <br /> TIME IN <br /> P.O.Box 6336 DATE <br /> South Austin Road/WEIGHING LOCATION Stockton,CA 95206 TIME OUT <br /> Main Office:(209)466.4482 1 ;: 1 ' " <br /> teca,20 95336 DATE OUT,, <br /> [fill-'(209)982-4298/WEIGHING LOCATION Fax:(209) 465.0631 I I : q;. <br /> wrce Recovery:(209) 982-4936 1 (:.` I <' ""%I ROLLOFF <br /> VEHICLE <br /> '.'f:IG I I 1 <br /> Hf9iaP AL I ORIGIN <br /> REFERENCE <br /> inl. 1 ANI-IA>a _ r l hilt f �. I'f,IF <br /> Id. T I!PNEf+ <br /> We'taht rn7 �ilft L..EI <br /> lnhar.-tnd <br /> TAX TOTAL <br /> RATE EXTENSION <br /> 'It h '' _ ;-..DESCRIPTIO <br /> OTY UNIT <br /> described commod ty`^'Os weighed,measured.of counted by a weighmaster,whose signature Is <br /> WEIGH' <br /> CERTIFICATE <br /> THIS IS TO CERTIFH fiat the Iotowing prescribed by Chapter 7(commencing`�tt'Section 127 dAg6cutufe°n 5 of the California Business NET AMOUNT <br /> on this cediMcate,who is a recognized authorRV of accuracy.as <br /> b the DNlsio f of Measurement Standards of the CalRomto Department of Food and g <br /> and Professions Code,adminMered Y TENDERED <br /> FES I <br /> # 7 t.T.:j�,J.l. CHANGE <br /> NONE <br /> 1 n 1] 1WC8tb7 r}.lv wti:h I:h� 1 nclfi. ]. I. . <br /> jF11TL-p-P # CHECK NO. <br /> hn<i ria I}LF hu Ul-5 Lft n, <br /> r ,1 l (2Q, 5gRc)--4.24f'• t' «thPrlul / � <br /> O f �A�recycled paper <br /> w -� <br /> DRIVER'S SIGNATURE _ �- _ <br />