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r r , wEIgHMASTER CERTIFICATE ` <br /> THIS IS TO CERTIFY that the following ibed commodity was weighed,measured,or counted by a v raster,whose signature is on this certi- <br /> ficate, who is a recognized authority 6wap/curacy, as prescribed tW Chapter 7(commencing with See...,/12700) of Division 5 of the California <br /> Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> Purchased from BROWN SAND INC. - 239-4837 <br /> Sold To "i1 Weighed At: ,, �- <br /> Job 874 E.Woodward Ave DRIVER ON ® Date �Z <br /> LocationTare Wt. Loop# Manteca,Ca.95336 JOB No. <br /> Ne" <br /> Gross Wt. Type Truck# Trailer Purchase Order No. Trucker Drivers <br /> Weight(Lb.) Only(Lb.) �,,y j 60 LB Material Size Signature <br /> 2. y i;� 78020 LB :�,. 5 .._ems 2. <br /> 3. 3. <br /> 4. 4. <br /> 5. 5. <br /> 6. 6. <br /> 7. 7. <br /> 8. 8. <br /> 9. 9, <br /> 10. 10, <br /> 11. 11 <br /> 12. 12. <br /> 13. 13. <br /> 14. 14. <br /> 15. 15. <br /> 16. 16. <br /> 17. 17 <br /> 18. 18. <br /> 19. 19. <br /> 20. 20, <br /> TYPE MATERIAL TYPE MATERIAL <br /> 1000 Plaster Sand Total 9000 Playground Total <br /> 2000 Top Dressing Total 12000 R.J. Sand Total Time on Duty <br /> Sand <br /> 4000 Eng. Fill Sand Total 22000 C-Mix Total C <br /> Deputy j <br /> 5000 Fill Sand. Total 24000 Hot Plant Sand Total Signature ` 6:30 A.M. <br /> r" <br /> 6000 Trap Sand Total 25000 C C Total Deputy <br /> Signature 6:30 A.M. <br /> 7000 Top Soil Total 30000 Putt'n Tee Mix Total Deputy <br /> Signature 10:30 A.M. <br /> 8000 Masonry Sand Total 33000 Special C C Total BROWN SAND INC. S.A.B-75 <br /> WEIGHMASTER <br />