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Toll Frc 1-866-886-0600 / www.ciwinh ^a.c ov/Tires/ <br /> I <br /> 3 4 3 4 5 3 3 ed Pick Up Delivery <br /> 0 Hauler Tire Program ID / SiteSuffix <br /> _ x D� / Ho <br /> Facility Telephone Number <br /> C�L�r ��1 t DATE W <br /> fa a Whole Tire Count Weight InLbs. HE R-HHHH <br /> no HIN <br /> (v C1 <br /> E Volume Cubic Yds.❑Weight in Tons <br /> 0 9 E;Y�31i�r f�aarr?�e `'DRMO Stockton/French Camp <br /> 700 E. Roth Rd_ Bldg S-3. Box 37 <br /> �� 0French Cam <br /> (tA, CA 95231 <br /> F 7 <br /> [] t�ci(ire s:Sa((te (sI I�tl(IE:r <br /> I �] 7nrfia!s <br /> (N/A for I CEATfFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA TI IAT THE <br /> INFORMATION PROVIDED ABOVE IS TA UE AND COA RECT. <br />