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Comprehensive Trip Log Numbf Load Information ility Tire Program I1 Site Suffix <br /> a 4 2 F 5 7 1 2 -- Q Pick Up a Delivery © - <br /> Hauler Tire Program ID / Site Suffix a �n Facility Telephone Number <br /> DATE 11-U�11 n n <br /> � w ���"`111�Whole Tire Count � Weight in Lbs. ;'/2i w�5r co(l _C �I v N <br /> Volume Cubic Yds. E] Weight in Tons <br /> EC-1--, Ca&c- 1, PILI <br /> 1� <br /> o auler Name 36 <br /> EEW-UE 5 Sallie as Haulerauler Telephone NumberInitials <br /> (WA for I CERTIFY THAT UNDER PENALTY Of PERJURY Of THE <br /> O !28 3 Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE �\ <br /> © INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />