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W,R ARD <br /> SITE TICKET GRID <br /> r Sam ' t II 9RPORATED <br /> 9'Soitth'Austm Road/WEIGHING,LOCATION P O Box 6336 WEIGHMASTER <br /> ca CA 95336 Stockton, CA 95206 <br /> 1-2f1;'(nq),982-4298 <br /> - - !t r i <br /> /WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> 4i&rc6k covery (209) 982-4936 Fax (209) 465-0631 - ' L ' " ' I z_ 13,11 <br /> J4It <br /> DATE OUT TIME OUT <br /> �sJ} [t`EN{�.y��IROMME}'1µr�.Till_ WC. 1 7 ., r , =�f F : :SII <br /> r�V M �BARDEF\ F i M <br /> VEHICLE ROLL OFF <br /> . 3 }SONGS TERRACE <br /> ^ <br /> REMPIATIREFERENCE ORIGIN <br /> Tt 04"'1 1 Fit <br /> –()t} Gross (#� Ifll <br /> fiC* F T <br /> TAre It wSolliF ..il'ri3(ji1„r r1 r <br /> N—t Wt2Igh4l ,ti 17G- ,trS_3 LD i g '{#r <br /> xUNIT��' DESCRIPTION RATE EXTENSION TAX TOTAL <br /> , ,V <br /> r <br /> hIlAA R CERTIFICATE THIS 15 TO CERTIFY That the following detribed commodity was weighed measured or counted by a weighmaster whose signature Is � <br /> Is Certlficpte,wyllo is a recognized cuthonty of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> 1", <br /> s <br /> d ro€essPns.Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> as i, NET AMOUNT <br /> ti <br /> rp �r� TENDERED <br /> ORID, <br /> CHANGE <br /> CHECK NO <br /> ' X DRIVER'S SIGNATURE <br /> �r +� r � � � i r�r � � � r r r�■ _ r rr � <br />