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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix Fri 362.0104. -- BrDATE Pick Up ❑ Delivery ❑ ® © ® ® M-� Hauler Tire Program ID / Site SuffFacility Telephone Number � �❑ / �® / ❑� C3. i . © ❑ o ago ❑ ❑ ®® WWhole Tire Count ❑Weight In Lbs. �i�L�1 f�yiv 1 0 0 2 6 4 2 01Volume Cubic Yds.❑Weight in Tonso Hauler Name ir , €�' 1,�32cLes Schwab. Sta �p ter „tel-01< Hauler Telephone Plumber ■ Address Sarre as Hauler Initials (N IA for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE 1 -541-447-4136 Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE J✓ INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix 3 6 2 0 0 0 2 -- A Pick Up Delivery ® ® � ® ® a_ Hauler Tire Program ID / Site Suffix Facility Telephone Number In DATE a❑ �� ar W hole Tire Count i ht. n Lbs. 1.15W We ❑ D ®�®D© ❑ ❑ 0 1 1 1 0 0 2 6 4 2 _ 0.. 1 � Volume Cubic Yds.❑Weight in Tons ldc''i M1 A j� �� E Hauler Name (.�"��'��.a�'cl b,} C� e Les Schwab - 3 2-0. I Hauler Telephone Number ■7 ❑ Address Sarre as Hauler Initials . 1 -541-447-4136 (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. - - • • • Number • • Information 1 Suffix - 362010.8 -- A Pick Up a Delivery 4) Hauler Tire Program ID / Site Suffix Facility Telephone Number DATE DD / ®. / ON tow JoWhole Tire Count ❑Weight In Lbs. to P- 11010 2 1614 1210 1 ❑ Volume Cubic Yds.❑Weight in Tons oHauler NameIn Les Schwab GA h - Flauler Telephone Number a ■ ❑ Rddreas Salve as Hauler Initials 1 -541 -447- 413 6 cN/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE s) LAWS OF THE STATE OF CALIFORNIA THAT THE Whole Tire INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT.