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FORWARD <br /> SITE TICKET GRID <br /> INCORPORATED iit '+ <br /> t-1-9999 South Austin Road/WEIGHING LOCATION P 0 Box 6336 ' f WEIGHMASTER <br /> .r�i <br /> Manteca,CA 95336 Stocktan, CA 95206 <br /> tdnd6!! (209)982-4298/WEIGHING LOCATION Main Office (249) 466-4482 DATE IN TIME IN <br /> ' Resource Recovery (209) 982-4936 Fax (209) 465-0631 r' f y 'a "+ =. : + I r <br /> 004'f Fit, <br /> DA I OUT TIME OUT <br /> l _ L '.'.� �y Cl,1+1 F f�(�+PIC'�C"F!1"t'�l E�1+-' , � �-�� r...'_J� ". ,�. t pot <br /> RON J, F_'6 tT 3i-:r, j f „ VEHICLE ROLL OFF <br /> N ago boc-(33 <br /> 333 kti +r tf l� I • J _,_ <br /> F(~2f"€OiT, fro t =i`��` REFERENCE ORIGIN <br /> Cti ink ( r 21•It.'ii � 41 ( ttfl <br /> r <br /> x f�3"_-'7'w' `,f r+LF T ` jE*T <br /> r.i} rh # <br /> tdr_s TN <br /> QTY rT - UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> T1. 1 ! 1 C 1_r'i ; x t 1 <br /> I <br /> t <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is <br /> on this certificate who Is a recognized authonty of accuracy as prescribed by Chapfer 7(commencing with Section 12706)of Division 5 of the California Business <br /> and Professions Code administered by the L)Msjon of Measurement Standards of the California Department of Food and Agriculture <br /> ( 1 NET AMOUNT <br /> TENDERED <br /> ��1_ CHANGE <br /> CHECK NO <br /> f <br /> DRIVER'S SIGNATURE 1 <br /> F <br /> t y�• <br /> �r .r r � .s r■r �r � r � � <br />