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Comprehensive Trip Log Number Load Information F�, y Tire Program ID Site Suffix <br /> 4637040 -- A Pick Up 1:1 <br /> Delivery / P ELI <br /> a D <br /> _-17 <br /> 0 <br /> o Facility 21E R <br /> � Hauler Tire Program ID / Site Suffix (� y Telephone Number <br /> DATE I(�II ®� <br /> c L_!1 a�� ® G ® Qao 4 <br /> � <br /> m nw. �Whole Tire Count [] Weight in Lbs. <br /> /7 IZC- <br /> y I � C Volume Cubic Yds. 1:1 Weight in Tons _ /-_J k <br /> o Hauler Name 6'2� V U ( � C e !- -9/h <br /> LLl <br /> Hauler Telephone Number � � � U ■ � � Address Same as Hauler Initials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE S <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />