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W5PDelivery Tag <br /> Western Stone Products Weighmaster Certificate <br /> A CBR Company 1022 Woodland Avenue • P 0. Box 3171 <br /> IO y Modesto, CA 95353 <br /> 1-800-676-3201 • (209) 523-3201 <br /> WEIGHED AT. <br /> 1022 Woodland Ave. 3371 N.Highway 59 711 S. Madison Lathrop Rd &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.CA 95336 55 Turlock.CA 95380 56 Tracy.CA 95376 <br /> LOAD t LEAVE PLANT ARRIVE JOB START POUR END POUR LEAVE JOB ARRIVE PLANT <br /> j <br /> WATER ADDED ON JOB AT CUSTOMER <br /> CUSTOMER'S REQUEST GALLONS SIGNATURE X �• <br /> WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was 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 the California Department of Food and Agriculture. <br /> CAUTION: CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN. <br /> PLANT TICKET NO. ORDER NO. CUSTOMER NO. SOLD TO: DATE <br /> 1.0006. k CL_f4Rh WE_Li._., INC. <br /> DELIVERY ADDRESS ZONE DRIVER PIO NUMBER <br /> S I MPLOT LATHROP MIKE CROSBY <br /> SPECIAL INSTRUCTIONS PROJECT NO. <br /> ')SK BIN SI_Ui1! ' Cl:I.1' I!=it.'f�LF_:: OF i:OMPL.IANCE <br /> SPECIAL INSTRUCTIONS: JOB NO. <br /> 16777 S HOWL AND <br /> TRUCK NO. LOAD SIZE MIX CODE SLUMP %AIR oio CALC. SPECIAL INSTRUCTION NT <br /> LOAD CUMULATIVE ORDERED UNIT OF PRODUCT PRODUCT UNIT <br /> QUANTITY QUANTITY QUANTITY MEASURE CODE DESCRIPTION PRICE AMOUNT <br /> WESTERN STONE PRODUCTS SUB-TOTAL <br /> WEIGHMASTER WESTERN STONE PRODUCTS ASSUMES NO <br /> RESPONSIBILITY FOR DAMAGE INCURRED IN TAX <br /> DELIVERING MATERIALS INSIDE THE CURB LINE. <br /> BY <br /> EPUTY <br /> 7CUSTOMER TOTAL <br />