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FORWARD 4t. r <br /> �►� I N C O R P O R,A T E D <br /> W1 <br /> SITE ncl<Er cHl <br /> 9 outh Austin Road/wEIGHING LOCATION P O Box 6336 t F„ » U�1EfGHMASTER <br /> a,CA 95336 Stockton,CA 95246 <br /> (249) 982-4298/WEIGHING LOCATION Main Once (244) 466-4482 w Y <br /> DATE IN T""C#N <br /> Resource Recovery (249) 982.4936 Fax (249)465-0631 <br /> r DATE OUT TINIE OUT <br /> t - <br /> VEHICLE POLL OFF � <br /> 1 y <br /> M REFERENCE ORIGIN t <br /> tAL <br /> sem? <br /> QTS`. UNIT DESCRIPTION RATE ' - EXTENSION TAX- � <br /> {? £ I� - TOTAL <br /> eT. ¢ T7-z x gtn- sr r+.. <br /> 4 <br /> I <br /> ! <br /> WEIGH MASTER CERTIFICATE THIS 15 To CERTIFY That the following de=ibed commodity was weighed measured or counted by a Lveignmaster whose sic Ictura iF <br /> on this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Drvnslol'5 of the CU, crnla 9 r=nes_, <br /> olid Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agnrlliture <br /> r i ! TENfiERED- <br /> M.�� .+!' .L, t,i-I.V`tGE <br /> CFHl K NO <br /> DRIVER'S SIGNATURE <br />