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FORWARD ".SITE TICKET GRID <br /> V� INCORPORATED <br /> r <br /> 9999 South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br />� <br /> Lca, CA 95336 Stockton, CA 95206 IQ, <br /> _ L f� <br /> I (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> Re ice Recovery (209) 982-4936 Fax (209) 465-0631 <br /> llv�`;+ DATE OUT TIME OUT <br /> i_S r-�- <br /> � -lQ / VEHICLE ROLL OFF <br /> + rF _C [ q <br /> EFE N E ORIGIN0 t ? 1�+� <br /> �li , l � � � ✓��f"4z <br /> Diu r•fT' <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> ~ A <br /> [r_.r 1c-Y <br /> NEIGH MASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> m this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencipg with Section 127DD)of Division 5 of the California Business <br /> ind Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> CHECK NO <br /> r A i <br /> DRIVER'S SIGNATURE <br />