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Comprehensive Trip Log Number Load Information Fae'—,f Tire Program ID Site Suff i x <br /> a <br /> 4637079 -- A Pick Up Delivery © - a <br /> m Facility Telephone Number <br /> _U <br /> m Hauler Tire Program ID / Site Suffix nn <br /> C DATE 0 D E— , i J <br /> N <br /> C w Whole Tire Count � Weight in Lbs. <br /> d <br /> E] volume Cubic Yds. E] Weight in Tons <br /> E Hauer Name �� _j -; /, � <br /> ■ L J <br /> Hauler Telephone Number Address Same as Hauler Initials <br /> /v (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> [ Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />