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} <br /> Delivery Tag , <br /> Western Stone Products,,Inc. Weighmaster Certificate <br /> .g CBR Company 1022 Woodland Avenue • P O. Box 3171 j <br /> Modesto,-CA 95353 <br /> 1-800-676-3201 • (209) 523-32011 <br /> WEIGHED`AT: Jj <br /> 1022 Woodland Ave 3371 N Highway 59 711 S. Madison Lathrop Ria &W.P. 1800 Paulsen Road 8181 W. Bus Loop 205 <br /> 51 Modesto,CA 95351 52 Merced,CA 95340 53 Stockton,CA 95203 54 Manteca,ICA 95336 555 Turlock,CA 95380 56 Tracy,CA 95378 <br /> LOAD LEAVE PLANT ARRIVE JOB START POUR ;I, END(POUR LEAVE JOB ARRIVE PLANT <br /> WATER ADDED ON JOB AT CUSTOMER �I <br /> CUSTOMER'S REQUEST GALLONS SIGNATURE X I <br /> y WEIGHMASTER CERTIFICATE:THIS IS TO CERTIFY that the following described commodity II as weighed, measured, or counted by a weighmaster, whose <br /> signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7(commencing with Section 12700) of Division 5 of the <br /> California Business and Professions Code,Administered by the Division of Measurement Standards of he California Department of Food and Agriculture. <br /> CAUTION: CONCRETE IS CAUSTIC. d AVOID CONTACT WITH SKIN. <br /> II <br /> PLANT TICKET NO. ORDER NO. CUSTOMER NO. SOLD TO: I DATE <br /> 5.3 50979 i'� 1+�f�+��:436 fr3SK & ASSOC 1 AT EE.S � _��-.,I-- e b- 9 <br /> DELIVERY ADDRESS <br /> - ZONE DRIVER ''! { P!O NUMBER ti <br /> 1 400 WATERLOO - ST OC K ['mt GUY <br /> MCl# <br /> SPECIAL INSTRU ?IONS �C <br /> 20. 0t NEAT CE-MEN I• / 6, 15 GALA.-ONS WAt�:R S SACK /I EWM. ,�1`` <br /> f OFF y1 5 <br /> PROJECT NO. <br /> SPECJOB NO. <br /> T GUARD SHACK ON JO 1400 AREA / (41IRTY PLACE �Xit w <br /> ORD' R <br /> ETRUCKLOAD SIZE MIX CODE SLUMP %AIR %CALC SPECIAL INSTRUCT;ONSICONT. <br /> CUMULATIVE ORDERED UNIT OF PRODUC7r PRDDUOTUNITY QUANTITY QUANTITY MEASURE CODE tbESCRIPI-(ON PRICE AMOUNT <br /> lL► t:, t(� '2. V)V (11-41 L! 1 SfHt tc F taW11LI I Irr+ <br /> I <br /> I � <br /> I <br /> h <br /> 1 1 1 I �acEz 9 0 E1 inimuPiz L_.t:z d Ch.q <br /> it <br /> r <br /> I qq}} <br /> WESTERN STONE PRODUCTS.INC. I 'I^ SUB-TOTAL . ' <br /> WEIGHMASTER WESTERN STONE PRODUCTS, INC. ASSUMES NO TAX <br /> RESPONSIBILITY FOR DAMAGE INCURRED IN <br /> DELIVERING MATERIALS INSIDEiITHE CURB LINE. <br /> DEPUTY1 <br /> 1 L j CUSTOMER �# p TOTAL <br /> .- JI �� �.. <br />