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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffik <br /> 4196147 -- A Pick Up Delivery <br /> Hauler Tire Program ID ! Site Suffix Facility Telephone Number <br /> DATE <br /> © aa-as ® © ooQ <br /> � Lbs.OrRe �,LStcc) <br /> 0 El Volume Cubic Yds.❑Weight in Tons <br /> o Hauler NameCp <br /> � 5 l2/1N 5 3 <br /> ,fauler"telephone NUMUCI a ■ I Address-ante as HaUiet <br /> Initials <br /> '] J I CERTIFY HE UNDER PENALTY NI PERJURY E THE J <br /> Sv( Co/ 5 (N/A it �Ay15 OF THE STATE OF CALIFORNIA THAT THE <br /> Whol•TIfOS) INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />