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WILSON WAY TIRE CO., INC FLEET SERVICE RECORD <br /> �7s TPID 1000837 171355 <br /> U.S. TIRE SALES <br /> 1123 US TI-S-l" 924 US TIM Selov <br /> 1{1T�5,n Nal P-t 111Isan IV, T7,0 Reca #02 Connell The 021 US Tire Selos 6530 Franklin Blvd, <br /> P 1915 Nacional Ave. <br /> .A tt;,,,,,It.,, iris nrnrk er SL 2211 N, Wdson Way 2600,fo,YOSCAc9 Blvd. Hayward,CA 04545 Sacramento,CA 85823 <br /> CI 95"05 Srockfon,CA 95205 Stockton,CA 95705 M 9-571-,CA 95754 510-697-1282 018-303- <br /> ,,7�5.n;g. 20P-J6S3262 209-166-2501 209-571-5011 <br /> Ro # DATE LI /I J to <br /> �•v:h �%f <br /> \z1 �y I\ ----_ :. .---i--j--=-�------- VEHICLE# <br /> PHONE r L+ <br /> ---- LICENSE# <br /> — --- ------ — <br /> STATE CODE <br /> \T;:�\•i=SEF"IC-E 1 -� - _ .��` ��, .. <br /> _100 <br /> , <br /> CUSTOMER TPID DECAL 3f <br /> j •� — ;.-' � — i' <br /> .:ertih that under penalty of perjury under the laws of the Slate o/Calllarn le that the Inform ellen provided above Is true and coReeL In addition,I am aware that fai 1 <br /> in lecnation mat result in suspension,revocation,or denial of renewal of the Waste The Hauler Registration pursuant to Public ltesoureee Code secUon 42960 <br /> un h d,il +raltlez up to$25,000 per day,per vlolatlon of adminlatrativo Poneilles up to E5,000 par violation par day as described In Public Resout�/j <br /> lon <br /> DRIVEF SIGN,5TURE �',.J DATE <br /> TRUCKJRA.ILER# LICENSE STATE ODOME B <br /> SPECIAL INSTRUCTIONS ON `,+ OAF' ? <br /> OF WORK COMPLETED OTY DESCRIPTION'bF,WORKCOMPLETED QTY. DE51 7/P.710N dF <br /> f — <br /> E .. CE C1'1.L MOUNT I DISMOUNT(S)ON VEHICLE BRASS VALVE STEM(S <br /> NSPECTION MOUNT!DISMOUNT(S)LOOSE ALUMINUM STEM(S) <br /> EEn.10E LOOSE MOUNT(S) VALVE STEM REBUILD(S) <br /> LOOSE DISMOUNT(S) ALLIGATOR CAP(S) <br /> TIRE(S)BALANCED METAL VALVE CAP(S) <br /> RECONDITIONED WHEELS) O RING(S) <br /> PRODUCT INS rALLED <br /> ZE MFG DESCRIPTION "' FINISH MILES- <br /> 1 <br /> I START MILES: <br /> {: TOTAL MILES: <br /> — t <br /> I <br /> - START TIME: P6t !a <br /> -- ON SITE TIME: kM P>.I <br /> -- OUT TIN?E: alK1 P1.{ <br /> FINISH TIME: <br /> IF APPLICABLE _ <br /> I i]CKRNMEr' F O LEA EXEMPT — —�-OTHER --- - <br /> ----�- COMMON CARRIER/BACK HAUL <br /> -•� �•� �, �� QAD.TYPE <br /> '--�-- ~--- WHOLE TIRE COUNT ❑WEIGHT IN POUNDS <br /> Q VOLUME CUBIC YARDS i]V`JEIGHT IN TONS <br /> N�,� 40 pdq#►the is"of fh.Staf.of"'folia"th UP"infOrinatlon provided above is true and correct.Inadds) <br /> m"e�, ^T'4 =M MtYf r+h may t4sutl In cMll peratlfont t{p 3 9 4)QO r da;,. <br /> f5p�6p�q � AWA'Mdd�tt'Pi-M Pub"CReeoure"Cod%"Iona �� per vlolrtlon tlr idministralive pann{ties <br /> r fh(,. <br /> DATE <br /> ANON", h <br />