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• I • stelow kIll • - • • • <br /> i 3 4 3 5 0 0 9-- A Pick Up Delivery <br /> LENQM ® <br /> t Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> DATE <br /> W hole Tire Count OWeight in Lbs. <br /> `m <br /> 51 <br /> ❑ Volume Cubic Yds. []Weight in Tons <br /> E <br /> H ulbler Name p �. <br /> 3 � ertos Used Tires <br /> V a Q ( I Address same as Hauler Initial <br /> H ( T�Ilo��lnb I • 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> (N/A for LAWS OF TME STATE OF CALIFORNIA THAT THE <br /> Whole Tires) NFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facilitytire Program ID S I ite Suffix <br /> 3 3 9 8 00 Pick Up a Delivery a ®—� <br /> �JJ <br /> Mauler Tire;Program ID / Site Suffix• Facility Telephone Number <br /> 'DATE / �® / aO <br /> w Whole Tire Count E]Weight In Lbs <br /> C <br /> 91. <br /> r I i [3trs.y Q.h <br /> Volume Cublc Yds.❑Weight in Tons <br /> f�auier Name .PM.C� r;; �, •• c� �3 •(fJ�t�.D� �J" i" <br /> t Naulsl^Telephone Numbera + Address Same as Hauler rnirr <br /> Y_ I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> (N/A for <br /> Whole LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> w 7 for <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Pick U Delivery <br /> 98006 A ❑ <br /> 3 Facility Telephone Number <br /> Hauler Tire.Program ID / Site Suffix DATE ®© / �® —�MEPP <br /> o: <br /> r=' w)aWhole Tire Count �Wel ht 9 in Lbs. [-,��.�)..n r �J� ��iC�-�•¢-{•C:3 !ti <br /> I Volume Cublc,Yds. Weight in Tons <br /> Hauler Name I <br /> , � I� auler Initials <br /> a yA,¢ <br /> '�ERTIFr THAT UNDER PENALTY OF PERJURY OF THE <br /> Ha Telephone Number 000po <br /> (N/A for LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> Whole Tires) I1 A RO * ROF D CORRECT. <br /> J`(i Y <br />