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Toll Free 1 ,66-896-0600 /www.ciwmb.c;, -lov/Tires/ <br /> a • - • • • •- •� • • • - - a a�t B and <br /> MUM <br /> 3434 4 -a <br /> J�3 Pick Up DeliveIT <br /> ¢ HaulerTireProgramID / SiteSuffix oility Telephone Number <br /> G�t V '7 DATE ®Lr J /Whole Tire Count �Weight in L- ElVolurne Cubic Yds.❑Weight in TMO Stockton/French Camp <br /> Ci ilnlliGf �f'Tn1n0 East Roth Road, Bldg S-3, Box 37 <br /> ench Camp, CA. 95231 <br /> Toetlizirne p ltlmtl�E- <br /> �•, _ s l� 7cJcif ei�E��rn,: �z 11�ai+.too' <br /> (j I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE Initials <br /> ------ Whole Fires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE 1.TRUE AND CORRECT. <br />