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4w� <br /> ` FORWARD :'SITE , 71CKET x ,`„GRID <br /> ,, INCORPORATED oil <br /> X69 3? <br /> 9999 South Austin Road/AGHt'JG LOCATION P.O. Box 6336 <br /> ,: ' .c i•. ;WEIGHVIIASTER;'' <br /> Manteca,CA 95336 .0 Stockton, CA 95206 is kvt” <br /> Landfill:(209) 982-4298/M.IGHING LOCATION Main Office:(209) 466.4482 <br /> Resource Recovery:(20) 98214936 Fax: (209) 465-OG31 y.� _� �� 20-04 8 pm <br /> <DATE'QUT sx k -' 4+:TIME OUT.-.", <br /> -6-H .' tTV C�,i? t Ys.k'?1 � i 'E'I4'i.i 18 ;�a+ �C��s r• {'° �J;)l <br /> r r 'sC Y •;yaTi};„y t.U,FMICLE,t,. •ti:.'gr ;Nt; =ROLL-.OFF. <br /> TENTH >:' -.'R FEREIVGE �-.0RlQIN-rik <br /> i <br /> 'oi��-, weight 811380 0.r LB inbound <br /> At 0. Tyeii <br /> t Wil! f - r s e �O . - 2~s '7 9- "m <br /> .OT,Y.;.i1,c W r_ UIS17i. ,. .; ,..r?.+.._QESCRIP._T,'IONY2 W 1. RATE ..::' :7AX ..;' TOTAL <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY Thai the following described corrimb'dily wus weighed,measured,or counted by o weighmoster,whose signature is <br /> on 11-i5 certificate,who is a recognized authority of accuracy,o 'prescrlbed by Chapter 7(commencing with Section 12700)of Division 5 of the Calltornia Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. _--,NET-'AMOUNT <br /> yy <br /> •1,,7r:NDERED::' <br /> GRID 1rANV11--`T7Y5ca �do, CHANGE"..,. <br /> b; :.'CHECK- <br /> DRIVER'S <br /> .'CHEGKDRIVER'S SIGNATURES '.fff; ::;• <br />