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Compichensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 1,4 -- AL <br /> Pick Up ❑ Delivery <br /> 'Hauler Tire Program ID 1E-,$)te--Suffix DATE j <. / Facility Telephone Number <br /> = o� oa � o0 <br /> y _ <br /> cc nw. Whole Tire Count 1jWeight in Lbs. _ <br /> 1m Volume Cubic Yds. ❑Weight in Tons <br /> o G� - Ducl< crz� k pdz, <br /> 0 <br /> .. l <br /> 0 a f HH.00 total<toN C� `/Z Initials S <br /> 3 (N IA for CERTIFY THAT UNDER PENALTY PERJURY THE <br /> G J16— ) LAWS OF THE STATE OF CALIFORNIAI THAT THE <br /> Whole Tires <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> 7 <br />