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FORWARD <br /> E SITE;, TIGKF_T ', a .GFi1D t`� <br /> INCORPORATED . 2.1 <br /> F. <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Boz 6336 ' ` * wEIGFIMASTER <br /> Manteca,CA 95336 Stockton,CA 95206 C+ �)' `t <br /> Landfill: (209) 982-4290 WEIGHING LOCATION Main Office: (209)4611.44132 bATE tN _'" TIME IN <br /> Resource Recovery:(209) 902-4936 Fax: (209) 465-0631 �`�t t� I l •- `aTA <br /> 04 s 8 9 TtMEDUT:,. <br /> WIRIGHT ENVIRONMENTAL SERVICES 18 J::= am <br /> RICHARD NICKERSON <br /> ORIGIN ' <br /> LODI <br /> Do 71 ,0410- 00 LE 1rilba,'und SCALE <br /> CV,," .x 'IJNITr -:.�,':+3�',t? nz' ,.,,,-; .;DESCRIPTION .�, tw,y,. s- .^rF3AT;EEXTENSIQN--` ';TAX'S TOTAL. ' <br /> I <br /> I <br /> WEIGHMASTFR CERTIFICATE THIS IS TO CERTIFY That the foflowtng described commodity was weighed,measured or counted by a welghmaster.whose signature is <br /> on this certificate.who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of DMsion 5 of the California Business <br /> and Professions Code.administered tory the Division of Measurement Standards of the California Department of Food and Agricufhrre. <br /> — NET AMOUNT <br /> TENDERED <br /> ED <br /> CHANGE'.` <br /> — <br /> CHECK NO. <br /> DRIVER'S SIGNATURE <br />