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FORWA57D <br /> SITET r GAIP _ <br /> �+b INCORPORATED <br /> 6.982-4298 <br /> ustin Road/WEIGHING LOCATION P.O. Box 6336 �''.' EIGHh+IASTEf3 - l <br /> (5336 Stockton, CA 95206 q <br /> ICIGRIA <br /> ilL /wetcHiNc socnnoN Main Office:{209}466,448 .<, DAr ,aiv.�<. _,. „_: . ;`TIME IN <br /> e Recovery:(209)..982-4936 . 'Fax: (209) '465-0631 v ' + <br /> b -'TIME OUTPut ' <br /> G�l E VE L.ANKF-ORD a s e ma r <br /> U-1 <br /> E f 4D240 <br /> ROLL OFF <br /> EST U LA. 95:1llf cl REEEqi NG ': ORIGIN <br /> s' <br /> kC*�' Sroso-',Weight 52 12160 00' S d 1;,CALr= TT.CKET <br /> TY. r : UNIT” ".' DESCRIPTION .. RATE EXTENSION TAX' . TOTAL <br /> STER'CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a weigl imoster,whose signature is <br /> ertificate,'who,is a.recognized authority of accuracy,as prescribed by Chapter 7(commenobg with Section 12700)of Dlvision.5 of the California i3us�ness <br /> esslons Code,administered by the,Dlvislon of Measurement Standards of the California Department of Food and Agriculture. <br /> ' NET AMOUNT <br /> 19 TENDERED. i <br /> )")F�rll��� f��k 1 1 , <br /> CHANGE. <br /> 'CHECK NO <br /> DRIVER'S SIGNATURE <br /> i <br />