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Apr. 24, 2008». 2;44PM -C"""ELL TIRE/GOLDEN STATE TRUCK No, 6481 P. 7 <br /> E ..IL946 rr'JM%'.i,:.','rintR. vv.y 1111%r. FLEET SERViGE RECORD <br /> U. TIRE SALES TPID 1000837 106139 <br /> 001 tuns*,+ P "rureir'►Ga' Aos wAeoir"war rrre 421 us The sates X27 ua 77ra Sawa 024 va TL-.Sams <br /> 28f N.t#9tson way f7f3e�b:�ed!#f 2 � '�1 W/lr iae.�ver itl W F�.pnm st. Zeno rocvmMe ervts fefa Matmnet Aya 6530ltivnMtn Oturf <br /> tan . <br /> Arra ,G.93403 Sfadwn'Ca ASm. 81061,.0%Ca.P5M Traayr CF,95376 Modostq CA.VW54 makwaMr Ca,94545 Sacramento,CA.96"1 <br /> Z094eA-029f E09-Q6S316Y 5 82'.`,' SOB,�76-0087 4p9d7f.eeil 5104;87•12a2 9f6.'d65-,245 <br /> CUSTOMER ; P.O.# DATE <br /> VEH C Vim, <br /> • PHONE I [� <br /> �4S� <br /> LICENSE H <br /> LOCATION OF SLRVIGE r S7Az f.� P CODE <br /> CUSTOMER:TPIp + I::. ,�. {. DECAL# �CJ k5�9 _71 <br /> I certify th0t under penalty of{ter)urX unc{o;tfid laws df tke Stl)tq,q}Californle thaY(hp intormailon ed abov true and correct.In 11pCIIlpB,I am aware that talslneatlon of <br /> thte Irttormat}on may result In pgn9 n rt3gQcdtllfry','p�tlptll�6tjf`ren�wel of thb ygact0 tit 4giltrat pursue t arcs*Code section 42980 and may <br /> result in Civil perieltfea up to$ 1106, "dBy P4t6[d(1 x�tdm1i?I4tralivo 046 per vio on y a_V1119cribed in Pu c itesourcoa Code section 42962. <br /> DRIVER NAME DRIVER SJ90A1`VREY ATE <br /> x <br /> MAKE )•y i<;T�3UGK/7FiAILER# LICENSE STATE ODOMETER/HUB <br /> ,vn <br /> SERVICE CALL MOUNT/DISMOUNTjS)ON VEHICLE BRASS VALVE STEM(S) <br /> FLEET INSPECT{ON "':'t;i'`' `.`. ' MOUNT/DISMOUNT(S)LOOSE ALUMINUM STEM(S), <br /> AIR$EgyICE„: :.,. .; 'a,.;,'.;:r':%f VALVE STEM REBUILD(S) <br /> ?;LAT REPAIRS}' OOSE.FSf$MOUNT('S)' ALLIGATOR CAP(S) <br /> REPAIR MATERIAL(SJ,4' -TIRES)BALANCED METAL VALVE CAP(S) <br /> WHEEL SWITCH :S" :-iRECONDITIONED WtiEEL(S) 0 RING(S) <br /> FINISH MILES: <br /> f��”� 1 � START MILES: / <br /> TOTAL MILES: '3 <br /> • � � �.�x ,` START TIME; I Q-t?(,-7 <br /> ON SITE TIME AM PM <br /> OUT TIME: AM PM <br /> FINISH TIME: ) _ AM t <br /> LOAD AMOUNT ':r ' 7,141 <br /> VEFIb i` ❑,AGRiCULT�UfiE.ENT 1 11 OTHER <br /> OMMON CA8191ERIBACK HAUL <br /> ❑ <br /> ❑ PICK UP <br /> U <br /> 0MPoar.; <br /> FROM <br /> ❑ DELIVERY ❑ WHOLE TIRE COUNT WEIGHT IN POUNDS <br /> ;,, �,.;., LJ <br /> O EXPORT ro fa<f,, Au. EJVOLUME CUBIC YARD$_' <br /> El WEIGHT IN TONS <br /> t sonify that under ponalt of er v <br /> r p 1 ryunder the laws of the State of California that the Information proelded above to truo and correct.in addition,I <br /> ao am aWVW tW falelficatfbti Of this Information may result In civil panaltles up to S25,e00 per day,per vlotatlon or administrative penaltles up to <br /> 2 <br /> $5 OOO pcYviplAtion per da as described In PubllckRpsourcag Code sectlon 82. <br /> CUSTO,Mefl.PRINT,NAME STOMFFI SIG TORE DATE <br /> FSR Np y{ DATE <br />