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FLEET SERVICE RECORD <br /> rwrrr cnnf t/VAY TIRE CO-, INC. __ ' —7'11 11 —7 1 <br /> WILSON WAY TIRE CO., INC. <br /> FLEET SERVICE RECORD <br /> U.S. TIRE SALES TPID 1000837• 1 715 <br /> a #23 US Tire Sales azo US n <br /> X21 US Pro Sales <br /> v tt';.n•,!t'ar T,r,• 1/5fs u.n lt'ay Tiro Reap n02 Connell Tire 1915 NaflonerAvo. 6530 Fra 4 <br /> 1535 Markrr Sr 22I N.Wilson Way 2600 f•blvd. Hayward,CA 94545 Secr— 5823 <br /> tr;o.C4 95:05 Srockran CA 95205 Sfochton,CA 95205 M.2600 CCAA 95354 510-697-1282 816495.224+1 <br /> 200-465-3262 209-466-2581 209.571-56 11 <br /> P.O.# DATE <br /> - -�-- 1=--� -- V <br /> „ EHICLEN PHONE <br /> it <br /> LICENSE N � ? 00 <br /> C-SER\'ICE 1 h L y/I STATE <br /> CUSTOMER TPID (!l. . — DECAL# <br /> cert:'y that under penalty of perjury under the laws of the Stale of California that the Information provided above Is true and correct.In addition,1 Em aware that falsf=of <br /> Wonnatien may result in suspension•revocation,or denial of renewal of the Waste Tire Hauler Registration pursuant to Public Resources Coda e•ellon 42960 <br /> a• --..air in c—I ponalbas u to 525,000 per da <br /> •'4.',:: .,- p p y,per violation of odminlstralivo panaliles up to 55,600-per violation per day as described In Public Resources Code recti 2. <br /> •q E:;\A6'E j i DRIVEIV'SIGNATU E ,I - DA E <br /> USTOMER VEHICLE INFORMATION <br /> i <br /> TRUCKJTRAILER# LICENSE STATE 0DOMET <br /> *- SPECIAL INSTRUCTIONS , ON <br /> t; <br /> ON OF WORK COWLETED QTY. DESCRIPTION OF WORK COMPLETED, QTY. DESCRIPTION OF WORK COMPLETED <br /> =- -_C�L L MOUNT/DISMOUNT(S)ON VEHICLE BRASS VALVE STEM(S) <br /> ___=:vz!�=CTION MOUNT/DISMOUNT(S)LOOSE ALUMINUM <br /> LOOSE MOUNT(S) VALVE STEM REBUILD(S) <br /> LOOSE DISMOUNT(5) ALLIGATOR CAP(S) <br /> cIAL!S) TIRE(S)BALANCED METAL VALVE CAP(S) <br /> RECONDITIONED WHEEL(S) O RING(S) <br /> SEENEW&IP19 <br /> --- — -- -- bfFG l'fJtSl! ='' " k.,* FINISH MILES'._ <br /> __---_--_-_--- -- START MILES <br /> TOTAL MILES: <br /> �[z�------__ _.-----__.-- START TIME: Ul PIU <br /> ON SITE TIME�F' AL1 PAt <br /> OUT TIME: _ AM Pj,j <br /> FINISH I IME <br /> _.... ,.. <br /> e -. <br /> -c<F1MEtJT l.lCR£�I,t~ <br /> r• []OTHER <br /> _ <br /> DIC <br /> CARIfrR/BACK HAUL <br /> 1r' <br /> MUt,E TIRE COUNT <br /> ❑WEIGHT IN POUNDS <br /> 4 VOLUME:CUBIC YARDS l_j WEIGHT IN TONS <br /> •.f r4f}ury under the fewil Of , <br /> .: �.. .' of tins i.fritmou III IIM I11ft"Atlon pfovitfed abor•i%bus and ccno <br /> aa'takr.il,Mirpij�lft; <br /> per dayt pas o'11.1tinn ur aAmlrllsltAlivo pcnralln>iut�i <br /> �OOhL47UR ._. <br /> r GATE <br /> �,, <br />