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(4) <br /> CROSBY&OVERTON,INC. <br /> ENVIRONMENTAL SERVICES <br /> 1610 W. 17th Street • Long Beach, CA• 90813 <br /> (562) 432-5445 <br /> Weigh Ticket of Number 16 217 <br /> WEIGHMASTER CERTIFICATE <br /> Generator/Owner/Agent Name <br /> Transporter Vehicle License No. S <br /> Consignee: Crosby&Overton, Inc. <br /> Manifest NumbeLine Item Number(9b) <br /> Number of Containers being weighed <br /> Container Type D;:;DF DW CF BA Triwall Tote Other <br /> (circle one) <br /> Description of Material /Commodity <br /> C&O Document Number <br /> Signature ofWei master <br /> Date <br /> WEIGHMASTERTIFICATION <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted <br /> by a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy, <br /> as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California <br /> Business and Professions Code, administered by the Division of Measurement Standards of the <br /> California Department of Food and Agriculture. <br /> Weighmaster license No. 009152 <br /> Comments: <br /> OFFICE COPY <br />