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i <br /> i <br /> --,..._.. -.._..... --------- <br /> F0-- RW <br /> A-KV <br /> ^ <br /> I NcsirE' = <br /> C.O='R"P O R A T E D T �`_' ,Tf�CKET• GRID <br /> 9999 South Austilt' Road/wF,icl IINC LOCATION P.O. Box 6336 <br /> Manteca, CA 95336 Stoctcton, CA 95206 T�kC' CIRTA <br /> Landfill.(209) 982=4298/WEIGHING LOCATION Mail' Office: (209)466-4482 <br /> Resource Recovery: (209) 982-4936 :`sir :DATE INi TIME!N <br /> (209} 465-0631 �'t,a f r >j <br /> i?pFax: - <br /> WRI- ),,';'�S.IRCY14V, SaSi AI s t.DATE OUT; <br /> L�3T.0 7.3 L1i:�? x`lQ�k ` : TIME QUT <br /> RICHARD fxCk�F3 I :LC:Y,F,Y '(; , 1 . W n .. i,1.. <br /> 13 7 47. "". f '` % S u? ax.,U HIGLE <br /> v:3R ' i ROLLOFF <br /> n? REFERENCI_ <br /> � �*..; � '�ORIGIN;�;•: - <br /> rt. <br /> M 1�yyyy S- J <br /> 8 78 <br /> TTY;:<. UNIT>: r ' <br /> a �'3 -... DE SGRIPTION?:: <br /> i GRATE a -.; XTENSIUN :TAX <br /> 28. 78 <br /> TOTAL <br /> EIGHMASTER CERTIFICATE MIS IS TO GERTIFY Tho:the following described corrrmddity was weighed,measured,or counted by a woighmoster.whose signature Is <br /> s this cortiflcate,who Is a recognized oufhorfly of accuracy,as prescribed by Chapter 7(commencing with Ser <br /> Id Professions bode,administered by'the Dlvlslon of Measurement Standards of the Coliforni <br /> a Department of Food and tlon 127Division 5 of the California F3nsiness <br /> U0)00)of of fture. <br /> NET AMOUNT <br /> S'i?;-5 6 :TENt]EFiED - <br /> CHANGE <br /> i <br /> ti y. CHECK NO: <br /> DRIVER'S S1G-rNATCJREJ�'F✓ >- <br /> i <br />