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FORWr, .,ZD <br /> INCORPORATED <br /> SITE TICKET . ' -_ . . GRID <br /> �►b' <br /> 99 South Austin Road/WEIGHING LOCATION P.O. Box 6336 - WEIGHMASTER <br /> mteca,CA 95336 Stockton,CA 95206 <br /> Landfill: (209) 982-4298/WEIGHING LOCATION Main Office: (209)466-4482 DATE IN TIME IN <br /> Resource Recovery:(209) 982.4936 Fax:(209) 465-0631 - <br /> - DATE OUT TIMEOUT - <br /> =VEHICLE ,fROLL OFF <br /> - - -«REFERENCE - - `:ORIGIN , r <br /> ".QTY. -UNITF ?q; '-,,DESCRIPTION °'k; "RATE '• EXTENSION 4TAX ( TOTAL <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the follovAng described commodity was weighed,measured,or counted by a welgnmaster,v,hose signature is <br /> this certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing Wh Section 12700)of Division 5 of the California Business <br /> d Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> A.M'JQNT <br /> :- TENUERED <br /> CHANGE , <br /> CHECK NO. <br /> DRIVER'S SIGNATURE <br />