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Ccompreh'ensive Trip Log Number Load Information Facility Tire Program ID Site Saii;,� <br /> 4214817 -- A Pick Up ❑ Delivery <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> DATE ©[�Z UUU EONao © ® ao ® <br /> AWhole Tire Count Weight In Lbs. <br /> `a) ( IZ, E] volume Cubic Yds. OWeight in Tons r <br /> N <br /> a <br /> EE-EE Initials <br /> I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE ` <br /> (N/A for LAWS OF THE$TATE OF CALIFORNIA THAT THE T <br /> Whole Tires) INFORMATION PR OVIDECLABOVE IS TRUE AND CORRECT. I <br />