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Com�reZnsive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 4214813 -- A Pick Up ❑ Delivery <br /> Hauler Tire Program IQ / Site Suffix Facility Telephone Number <br /> oATE� <br /> ca w Whole Tire Count ❑Weight m Lbs. <br /> ❑ Volume Cubic Yds.❑Weight in Tons <br /> tN a fz� col✓ C � � 5 <br /> ■ I Initials <br /> 5 ���y) 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> 00 / i`� J�-- LS Whale for <br /> LAWS OF THE STATE OF CALIFORNIA THAT THE r`� <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />