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WEIGHMASTER CERTIFICATE WEIGHMASTER CERTIFICATE 'M This IS TO CERTIFY thalthofolbvdgdosuibodconunodywaswoghod,nmasmod:or munlod-by awoidhmaslor,whoso s{gnaluro is on Ilia ceni0csto who Iso mcogntzod authority of TRUCK SCALE M accuracy,as prasaniod by Chaplet7(wmmarrdnµith eodlon 12700)of Division 5 or tho 0 US"t'."EM ENT 06fanla ausinws and Professions Codo,adndnklarod by lha Division otMonsuidrnonl Standards of the Califomia Dopanmmrt of food and AgdwHura. Tic et#: TDIQJK urchased From: 119375 SHIP DATE: 07/06/18 TRK Control #-1G: 1G 32652 Cisco Air Systems, Inc.() WEIGHED AT; WS - Sacramento, CA 214 27Th St 130 N 12th Street Sacramento, CA 95816 Sacramento, CA 95811 VehicUe Tag No: 33905S1 State: CA ID # 3390551 S}IPMN7#.COMMODITY.. GROSS, .TARE' ►JET::PRtGE,AU.J`REASpN kg ;04: .'RD;,EX7:,.ApJ AMT CBK PRT PRICE TOTAL AMT TDIRJK Unprepared 13400a 10280b 3120 0.0 .0.00 0.00 0.00 100.000ONT 156.00 ALL WEIGHTS ARE REPORTED ,N POUNDS UNLESS OTHERWISE INDICATED. ALL NON-POUND W91GHTS ARE ASSUMED TO BE MANUAL WEIGHTS TOTALS > { 0.'.0 (.60. 0,.00 . 156.170 . Ticket Comment: JORDAN CARL E1513 70 I, ..................... J GRS Date 07%06/18 IGROSS TONS DEPUTY WEIGHMASTER SIGNATURE GRS Time 10:46 1-.3929 ( dward ouintana r. J TRE Date 07/06/18 J CUSTOMER SIGNATURE _ J TRE Time 11:11 =SCALE 1 b=SCALE 2 c=SCALE 3 d=SCALE 4 m=MANUAL WEIGHT ..................... Vattey Inside Buyer In accordance with the Clean Air Act and other applicable laws;seller must sign the Scrap Acceptance Agreement form provided at the scale at least one time every 2 years,which applies to any recyciables in the transaction which may contain or have contained reirrilgerainer or other potential.Hazardous Materials: FOR SALVAGE VEHICLE SALES:.I hereby certify,under 0anally of perjury that any vehicle sold has been cleared for dlsmanifing,wIftthe Depariment:of MotorVehicies, HOLD HARMLESS AGREEMENT:Seller wl11Indemnity add hod buyer harmless for damages,demands and liabilities,including reasonable attorney's fees,resulting from the breach of anywarranly hereunder and driver agrees to be responsible for damage to vehicle durIN unloading. SILL OF SALE:I warrant that l am the owner(or owner's r pro s6ntativa)of the material described hereon and have the right to Gall some,that it contains no Hazardous Mslerlai as delineil in the Scrap Acceptance Agreement or otherwise by any federal or state few and III t for,payment hereby received,I sell.and convey title to Sims Metal Management. Seller certifies that all refrigerant Including but notllmited I Chlorofluorocarbons and Hydrochlorofluorocarbons,(collectively'CFO's')Refrigerants and their Substitutes as defined Insect Oil of the CleanAir Act that has not leaked previously have been recovered frompplignce and motor vehicles prior to delivery:I understand it is unlawful to relense Freon and CFC's Into the atmosphere and that any CFC's niust be properly removed before appliances or motor vehicle air c ndilipners can be recycled,I verify that either(check one): Q(1)all CFC's previously leaked from(III eonfalner,or Q(2)all CFC's were properly recovered 1 acc�rdanoe with 40 C,F.R.Section 82t156(g)and(h)by: EI vendedor certifica quo todos los reUlgerames inctuyend para no Ilmitado a CFC'e y HCFC's Rorriger(Inlesy sus substitutos comp se define an Is secclon 608 del Acta do Aito Lfmplo qua no he goteado previamente han side recuperados do los efecliodomeellop9 y automobiles antes do seranitegodos,Yo enilondo quo as conUa is leyiiberar Freony olros doro6uorocorbonos y hydroGoro6uorocarbonos (legalmenle Ilsmsdos CFCs)an of sire yque todos les CF 's-Hanan quo estarremovidos epropiadamente antes:da qua los aparatos o sire scondl6onados de los cargos puedan sarrecidados Yo ve(iPque que (cheque uno): {.. n(1)todos los CFC's hansldoprevamen a evecuados de.este contenedor,o ; n(2)lodes los CFC's fusion recuperados on tdime epproplada do acuerdo con 40 C:F.R;Saccion 62.156(g)y(h)per; r Name/Nombre: AddressiOlrecclon: DatelFecha: Seller SlgnedlSellerFirma: Printed Name/Nombre: DatelFecho: Seller's Warrant:Seller warrants and represents to the Purhesilr the material transferred,by the Sailer to the Purchaser pursuant to this Agreement is not and does not Contain a*hazardous substance'as said term is defined in the current applicable federal or stave an, ronmentollaws,rules,or regulations.In the event Purchaser Incurs anyilabllityar obligation due to a breach of said warranty arid topresentaUon,Seiler agrees to Indemnify and hold Purchaser harmless from all ugh liabilities and obligations.NohviihsiaridIng the foregoing,nothing set forth herein shall constitute a waiver by Seller of any rights under the law pursuant to any written or oral agreements that it may have aliaihst the entity. EL VENDEDOR GARANTIZA: EI vendedor garantlza y rep ase to at Comprador qua afmaterial tronsloddo,per at Vendedoeai Comprodorde acuerdo a sate acuordo no as yno conilane'substanclas poligrosas" *omo se dijo ane termino tomo se define antes!eyes,reg s,o regulaeiones embienteles federales yesleleles,En ei events qua el Comprador lncurre alguna responsabllidad u nbUgatlion pnrel rompfmienta da cha garanUe y reprosentaclon.ELVendedor ecuorde enir{demnlzar y nohace'r responsabie ai Comprador de Coda dioha responsabilidedy obligation.No obstante to procedenfe,nada dk:ho aqul constituim Una mala por at vendedor de cualqulor derecho Dole Is les un',cuoi uler scuardoesedto uoral quo: uedo toner toner an contra do.cuolquler entitled. L kG'"U5 Otl facebook