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WILSON WAY TIRE CO., INC- <br /> FLEET SERVICE RECORD <br /> Ili I�jjr, <br /> i. U S. TIRE SALES TPID 1000837 <br /> Y <br /> #23 US n1-Sal-S m24 US T7m Sales <br /> T1-Rican ;Y02 Cannell Ti,.�.,y tt2l US Tire Safe' 1915 National Ave. 6530 Franklin Blvd. <br /> f it W" T7,, 2600 Yo,enilfe Blvd. Sricrarnonto,CA 95823 <br /> I V III`,I W'), fs.75M.—AM St 2211 N.MIS— H.y-vv.rd,CA 94545 <br /> A (7•1 95:05 S(— (—.CA 95205 Srockfon,CA 95705 Modesto,CA 95354 510 B7-1282 <br /> 209-465-3.162 209-466-2581 209-571-5611 <br /> DATE - <br /> I I h( <br /> E VEHICLE# to <br /> ......— LICENSE# <br /> CODE <br /> ,'N CIF SERVICE <br /> 14 <br /> f <br /> DECAL# <br /> CUSTOMER TPID a of California that tho inf—ti—provided above is Lru.and correct.In addition,I am aw2rc that 13 n of <br /> I ce-tit)it at under penalty of perjury under the I—of the Stat sto Tiro Hauler Regilstrati pursuant to Publia In Cods,ss�ctlon 4296 cz= <br /> to s jmec---n may result In$11sponsion,revocation,or donial of renewal of if,.W. lead In Public Rsaource,a Cot .6 52. <br /> _,,f.1 civil p­11ties lip f��S25.000 per day,per violation of acirril-ilst-tive penalties up to$5,000 per tj per day escr <br /> DRIVER,SIGNATURE DATE <br /> X <br /> DN-=1110 0136M=ua <br /> TRUCK[TP-NLER LICENSE STATE <br /> SPECIAL INSTRUCTIONS ON <br /> fESCRiPTOF WURK COMPLETED QTY. DESCRIPTION OF VQ�KdOO�ETED DESCRIKIONOFWT1 <br /> SER'.ICE CALL MOUNT/DISMOUNT(S)ON VEHICLE BRASS VALVE STEM <br /> FLSETINSPECTION MOUNT/DISMOUNT(S)LOOSE ALUMINUM STEM(S) <br /> 4,R SERV!CE LOOSE MOUNT(S) VALVE STEM REBUILD(S) <br /> REPAIRS) LOOSE DISMOUNT(S) ALLIGATOR CAP(S) <br /> REPAIR MATERIAL(S) TIRE(S)BALANCED METAL VALVE CAP(S) <br /> ...-HEEL SWiTCH(S) RECONDITIONED WHEEL(S) 0 RING(S) <br /> M-- -- - FINISH MILES:— <br /> s MFG DE810RIPT10N <br /> FZE <br /> START MILES: <br /> TOTAL MILES'. <br /> START TIME: AM I <br /> ON SITE TIME: MA <br /> OUT TIME: AM <br /> FINISH TIME AM <br /> U" — <br /> HAULER EXEMPT`ION IF APPLICABLE <br /> 60 U,40VEONMENT ❑LEA EXEMPT OTHER <br /> JL CULTURE RE Ll COMMON CARRIERIBACK HAUL <br /> LOAD TYPE <br /> ---------- ii�HOLE TIRE COUNT WEIGHT IN POUNI <br /> /,'-.'jPT TVOLUME CUBIC YARDSVEIG <br /> HT IN TONS <br /> My of pejury under the laws of tho St, <br /> ato of California that the Information provided above 13 true and correct,In I <br /> rA Ibis Information may result In 001 plitriallian 111) $25,000 per daV, per violation of adminl5illratlye pen-,�i <br /> doy so described it,PUblIC,R#q0UtEgj Collie portion 42462 <br /> DATE <br /> No, <br />