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Comprehensive Trip <br /> Log <br /> — Number Load Information F ity Tire Program ID <br /> Site Suff ix <br /> 4549331 -- A Pick Up Ll <br /> Delivery © � _ <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> DATE ❑ ®� <br /> R w Whole Tire Count Wei ht in Lbs. ❑ <br /> CL ❑ g / <br /> L L�19!KIN,f//a(:7- Sf�aflE[ iC <br /> Volume Cubic Yds. Weight in Tons <br /> o � <br /> Puck Ci2c ck- <br /> Al Qr� 7,o C k7Le) N Cid 9 S <br /> Initials <br /> IN/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> ` A Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT, <br /> I � �cC <br />