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LG02A3A <br /> udwb303O .rpt. 014 DAISY 08/26/11 <br /> ABANDONMENT/DESTRUCTION 19:02 <br /> Proo_loc_ric SZCA 11238 Page 3 <br /> ITEM NAME: <br /> STORAGE LOC DTID-SCL/SCT STOCK ID QTY/WT U/I HM/HW DML <br /> AO R0103OIAO LG02nA3A 15, 620 A <br /> DATE OF A/D g^a-�-(/ A&D REASON CODE l9 D <br /> I CERTIFY THAT 4-6ao",—j/`r• WERE ABANDONED/DESTROYED IN THE MANNER <br /> AUTHORIZED BY DOD 4160 .21- AND OTHER APPLICABLE GULATIO <br /> NAME � � � WITNESS � !� <br /> i <br /> . 3940577 -- /q zP ick Up Delivery <br /> II 1 <br /> ' Hauler Tire Program ID / Site Suffix 1=acility Telephone Number <br /> DATE ��/ / ®� <br /> m <br /> CL Whole Tire Count O Weight in Lbs <br /> 6?I � '� vl Volume Cubic Yds.❑Weight In Tons a7 i <br /> 0 0$ siyr a i�mr Z G.� / � hP <br /> j> clw <br /> a _ c� �,$ 2 <br /> Ti.0?3n3'i TI,rV'J_;;:J'o-src':aZ•':ui73�1,, p `•� .6.....0 <br /> =y <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whoia TIME) LAWS OF THE 3rATE OF C 1w 041A THAT THE <br /> INFORMATION PROVIbED ABOVE IE TRUE AND CORRECT. <br />