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G <br /> FORWA �. <br /> :TSITEp }T1GKE7c' ,ti :C k <br /> I N C O R P.O;R"A:T E D <br /> 9999 South Austin Road/WEIGHING LOCATION P.O.Bbk 6336 <br /> Manteca, CA 95336° S#ockton, CA 95206 �i {' <br /> Landfill:(209) 982-4298 WEIGHING LOCATION Main Office:(209)466-4462 1., ,.,< ;,'+'DATE IN_ ;4d- rME IN <br /> Resource Recovery: (209) 02.4936 Fax: (209)465-0631 '...J t 111 cis M <br /> <'DATE O_UT -s TIME'OUT <br /> €tTFt C:i 7` <br /> ENVIRONMENTAL AL-;S RVT ` =tea �� E ,.� A. . U PIE <br /> <.Y�r, wVEHICLC's =., ROLL.PFF <br /> �. .a . <br /> ACTT f CAY. .«37.-6 - - --..gti-:"T:RE FE HENCE <br /> LODI <br /> �;'ses <br /> - weight167,520. 00 X13 Tlihozz dl � sc:AL TC 12 <br /> re Weigh' Z <br /> OIY.; ": UNIT:, :?s ."Y:'s �,.:l,DESCfIP..TION .; e+:sfi.,4°3 .ia :. k:•81RATE_. tF -. .'EXTENSION',:r TAX TOTAL <br /> CLA <br /> WEIGHMASTER CERTIFICATE THIS IS'10 CERTIFY That the following described commodily was weighed,measured,or counted by a welghmaster.whose signature is <br /> on this certificate,who Is a recognized authority of accuracy,as prescrlbed by Chapter 7(commencing with Section 127010)of Division 5 of the California Business <br /> and Professions Code,administered by the DMslon of Moesurement Standards of the California Department of Food and Agriculture. <br /> NET AMOUNT <br /> - ;'.:'.TENDE?RED <br /> i CHANGE <br /> CHECK NO. <br /> DRIVER'S SIGNATURE <br />