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.. <br /> 4511512 -- A Pick Up [] DeliveryLl <br /> Hauler Tire Program ID / Site Suffix DATE / Facility Telephone Number <br /> y <br /> to <br /> LU Whole Tire Count 11 Weight In Lbs. <br /> m 6 l I Volume Cubic Yds. E] Weight in Tons <br /> N <br /> S Hamer Name <br /> N <br /> N <br /> Hauler Telephone NurTmbe, • � j <br /> Address S«s��e.as Haa;lee Initials <br /> (tLA for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Q ,.fes Whole Tires) LANs OF THE STATE OF CALIFORNIA THAT THE <br /> JJ INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> :.wmrr.-.+-w,;w..,,i.,..,x,+<w�w4:rr.sewn+u:.,ie+�v�:�+.;n+;aa«-.,-T..xiys�+.e�tii-*ur+i�:,,.;•:v�,eexpdxu�w.awwr...?nF.lxx�rwMer3xr...isr:«�:a+W:sc9 .-...u.,u,��.....�...._-�,._T., <br />