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i ;' l <br /> rORWADk k n, <br /> INCORPORATED ITS'F- ,riDl(sr . GRID <br /> s <br /> 19 South Austin Road/WEIGHING LOCATION P.O. BOX 6336 - <br /> nteca,CA 95336 Stockton,CA 95206 <br /> andfiil:(209) 982.4298/WEIGHING LOCATION Main Office:(209)466-4482 -'DATFIN .TIME IN <br /> iesource Recovery:(209_) 982.4936 Fax:(209)465-0631 <br /> r'r6DATEOUT ;TIME.OUT -- <br /> 3'4.VEHICLE — .-ROLL <br /> REFERENCE _ ORIGIN <br /> OTY. '' UNIT ;:- DESCRIPTION -RATE +_EXTENSION TAX TOTAL <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weighmoster,whose signotue Is <br /> this cerfificote,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 1270G)of DMsion 5 of the California Business E <br /> J Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agticulture. <br /> J <br /> NE; A,iCt.'f`k� <br /> TENDERED— <br /> s it Zld,t'en'MCV '4 j rr <br /> 'je +.*4"-...I}..>.�'i !rt t' : :n Urbf 1. 11 . CHANGE <br /> -all NGE°a} 1 y �ht 'f tG aGrfWiz , <br /> K NO. <br /> .. /Y4 <br /> DRIVER'S SIGNATURE "� 7. 0 <br />