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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site SLJffiX <br /> Z <br /> CX <br /> 419 4 0 6 4 -- A a <br /> ick Up EDelivery <br /> 10 Hauler Tire Program ID / Site SuffixDATE / ©© / ©� Facility Telephone Number <br /> eo w Whole Tire Count Weight In Lbs. <br /> oo ®-as® aos , <br /> IL t-('AE West- 67 �O <br /> �f�iN N <br /> E ElVolumeCubic Yds. [:]*eight in Tons ) ? ����'� C a&L U k VAN6 <br /> 6 <br /> o Hauler Name 6:> <br /> ��1 <br /> --, <br /> Hauler Telephone Number Q ■ Address Same as Hauler Initials 1111 I Jl�t <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE yy.. <br /> i 5 3 WADI!forTirLAWS OF THE STATE OF CALIFORNIA THAT THENO 0 J , <br /> INFORMATION PROVIDED ABOVE 15 TRUE AND CORRECT, <br /> ��� <br /> 70-6 <br />