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_ r <br />STATE OF CALIFORNIA RECEIVED* <br />DEPARTMEFX OF FOOD AND AGRICULTURE <br />DIVISION OF MEASUREMENT STANDARDS SEP ��) ORIGINAL TO COUNTY <br />1 iC YELLOW TO CUSTOMER <br />PLACED IN SERVICE REPORT Ej",JVJP,ONM.0C\JT/�� PINK TO SALES/SERVICE COMPANY <br />TEMP. i1-751 G T•-.� r�� <br />FIRMS REGISTRATION NO. <br />COUNTY "! � ,j�:- d��+A��"{�I!"0 � DATE .7 q / <br />Z' / "' / / 0330 <br />NAME OF SALES'SERVICE r <br />MPANYADDRESS <br />SHAW'S MAINTENANCE. qF9LG. 1 %Ule3610 <br />?LAME OF CUSTOMER � � w ^ ADDRESS � <br />WEIGHING OR MEASURING DEVICES PLACED IN SERVICE OR REPAIRED <br />NUMBER MODEL SERIAL RED TAG <br />OF DEVICES BRAND NAME NUMBER NUMBER TYPE OF DEVICE I CAPACITY NUMBER <br />(IF APPLICABLE) <br />/ <br />REMARKS: A/ <br />r <br />RED 'TAGS ENCLOSED IF APPLICABLE DAIA OF WORK Com LETED DATE THIS REPORT WAS MAILED <br />YES 2rNO (IF NO EXPLAIN IN REMARKS) /JJ <br />PRII/tipTTT NAME OF REPAIRMAA/N/J SI OF/RR�JgPAA MAN ////�J REPAIRMAN'SI..D/. NO. <br />