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Se"e Reverse For Terms, <br /> # Conditions and Warnings <br /> I I <br /> r WEIGHMASTER CERTIFICATE TICKET NUMBER <br /> THIS IS TD CERTIFY that the following described cornmodity was weighed, <br /> AMERICAN TRANSIT MIX CO., INC mea,°red. ° counte9 6y a weighm6st r, whose slgna urr is oe the !7� <br /> eificate,who is a recog i d authont {u accaracy, s p scr4f. 6y 61,�,3rI71'�' <br /> cCh Ater 7(commencln with Section 127 0) f Di ision 5°f the California <br /> B siness and Professions Code, admihistered by the Division of <br /> Measurement star,darda of the eahfnr�ia Department of r=ood and LV. PLANT ARR.JOB <br /> Agriculture. <br /> f *LOCATION WHERE WEIGHED / <0 <br /> (SEE REVERSE FOR PLANT I.D.) START POUR END POUR <br /> SOLD TO: SHIP TO: <br /> WEST HAZHAT DRILLING CORFULV JOB ARR. PLANT <br /> 458 WATERI.:U�O RDT :'I'I'�ICKTON <br /> "- TRUCK# BATCH TIME <br /> I <br /> 2014E: SJ00=3 f 552 15:09 <br /> COST.# PROJECT# SHIP DATE ;*PLANT ORDER# CUSTOMER P.O. JOS/LOT# <br /> 73810 9VJ738 30_Sep-93 59 X343 <br /> MIX# CU.YDS. LOAD# QTY.ORD. HIP'D SLUMP it USE DRIVER5893 3. 00 1 3. 00 00 S. 0 ISG ROGERS RICK <br /> MIX DESCRIPTION I CASH SALE <br /> " •-- _^ t UNIT PRICF UIM AMOUNT <br /> 3. N Airj' t TRT T <br /> PROD. QUANTITY U/M DESCRIPTION 1 <br /> 9950 1. 00 ?A OVERTIME CHG. EA. <br /> 9903 1. 00 LA MININUM HAUL <br /> it <br /> i <br /> i <br /> i I ' <br /> ' S { <br /> WATER ADDED AT- <br /> SUB-TOTAL <br /> i <br /> PLANT: GALS. SALES TAX 00 <br /> i <br /> TOTAL LO <br /> JOB SITE: GALS, I` <br /> CYLINDERS TAKEN: STANDBY TIME IOi TOTAL (,Q <br /> REMARKS: <br /> Z <br /> t _j <br /> 0 <br /> AMERICAN TRANSIT MIX CO., INC. WEIGHMASTER CUSTOMER'S SIGNATURE: Z <br /> PHIL MORGAN u <br /> BY DEPUTY RECD BY X <br /> FORM#70-02 ATM(5/93) CUSTOMER COPY �� <br />