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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> Q 4 21'4—r2 -- A Pick Up ❑ Delivery <br /> °U' Hauler Tire,Program ID I Site Suffix Facility Telephone Number <br /> DATE Do / a[] as <br /> cc <br /> Whole Tire Count []Weight in Lbs. <br /> f24A/! [�e2 <br /> Volume Cubic Yds. ❑Weight in Tons C-;C-/C G I l� <br /> 0 6 1 p l <br /> a <br /> ■ Iniriels <br /> --� <br /> p C/ (N IA fote Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> hol <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. Fj: <br />