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L <br /> ; CEl <br /> lamCU 978 �� <br /> - Facility Telephone Number <br /> del i{ Vire Program ID l Site' �f a <br /> DATE <br /> g <br /> ❑Whole Tire Count. Weight In Lbs. acilit 6f <br /> cJ �tt j�p ~ El Volume Cubic Vds.❑Weici,t in Tons `�m rens <br /> e!eOone Number ® Address Same as Hatter' rnre•� <br /> I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> , / ^1 .- l \,Af ��'-- ®•VJh lig i1f0) LAWS OF THE STATE OF CAUFORNU THAT THE <br /> F / INFORMARON PRDVIDED ADOYE IS TPUE AND CORRECT. <br /> ijity Tire Program <br /> r: N <br /> ur, be Load Information Fa(I <br /> ID <br /> k t. 3497933 A El <br /> Delivery 1 U ' RER <br /> -� <br /> d 1 <br /> '21 <br /> a� Haai-rTreProgrami0 /- SiieSuifi;: nn n® �© <br /> Facility Telephone Number <br /> 1 DATE nLJ 11 iltr�vlE / ILYJI I / pHM <br /> til 34 , a- UVhole Tire Count RWeightinLbs. <br /> 9 �Faci5�Si <br /> Volume Cubic Yds.❑Weight in Tons m Address A, <br /> d Az j2 <br /> r Q Taie!hon Numbe; ���{�(J' � w� Q Address Same as Hauler ars <br /> ' - r '. L_.LJ LJ <br /> Z (N IA for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> �4 ?T ( I Whole TI—) LAT,6 OF THE F CAUFORNIA THAT THE <br /> PPP INF . N STATE OPROYIOEO ABOVE IS TRUE AND CORREC;T�w: <br /> di <br /> ..�.. yy . <br /> v rc s �jty Tire Program <br /> 34-9794-3 ®® �, <br /> Pick�+� i� Delivery 0 M © © -0 0 <br /> ox .. <br /> 44. Hauler ThRp <br /> D Facility Telephone Number <br /> Ire Program ID i Site Suffix 'DATE <br /> RPM <br /> NJhole Tire Count [j WeighY in Lbs. rcfli�2ai1C�,Lt <br /> $ Voiume Cubic Yds.❑Weight in Tons I I <br /> Cit n� �y� <br /> Ip) I <br /> porta OK��c* <br /> E] Address Same as Hauler <br /> 1•fit �y;},e 7G1/'�%%'l011- i J L;:',1:lis (�J) (N fA 1Dr I CERTIFY"AT UNDER PENALTY OF PERJURY OF THE <br /> WhDle Ti—) OF THE STATE OF CAUFORNIA THAT THE <br /> 1 ( VV INFORMAR ROVIOEO ADOVE IS TRUE ANO CONRECT. <br /> vpHUM <br /> n • D3 — 0 <br /> 3497629 - Pick p OIIVBYy w ® 0 3 0 <br /> Facility Telep�hone Number <br /> t t rT ,__Pr ram 19 / Site Suffix DATE; r <br /> Lu h".(hole Tire Count Weight in Lbs. / <br /> l.,ici i z.• �1Lizp Pts�Hi+t-.,. a Faci11Y + Q/1,`(2�r �7!'T`"'iil)WI <br /> I4 I Il� .� �~ Volume Cu:Nc 1'as.,�1'.ai�::t i..Tons <br /> Name Address <br /> critx. <br /> b� ?: 1J.1 <br /> SI ,n ^ „ I; I i Stamp or Label m C�' -t ml. <br /> \ I iul Address Same as HauFT D;f;,Tf: <br /> �ale hor'a I iunlr.e I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> (N/A for L,AyyS OF THE$TATE OF CALIFORNIA THAT THE <br /> ��O ��� y 1 / � �F'� I WRD(D TITCS) INFOPMATION P'IOVICEO PCOVE IS TRUc AND COPP[CT. _ <br /> .YV�V ii� OV Ll{H �YOV <br />