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www.ciwmb.ca. �yf fires/ <br /> Tol i°ree l- 3-096-0600 / <br /> „ <br /> r <br /> 34535 Pick Up Delivery a ?� H U141 11 <br /> Facility Telephone Number <br /> � � DATE C} � � RC � � as� hauler Tire Program ED / Site Suffix —RED� n�0a a L/ <br /> N c� 1 � � �� � NOD 0 <br /> ElWeight In Lbs. <br /> w�'© Whole Tire Count 9 <br /> o (, �) j volume Cubic Yds. Weight in Tons DRMO Stockton/French Camp <br /> a� 1 `G 700 East Roth Road, Bldg S-3, Box 37 <br /> E 6iaut*�r Nanvi French Camp,CA, 95231 <br /> zC Q ■ C._� M(l(-�tatll'f?53q c^aril!'.4i:S Hauler Initials <br /> t..l (�l�>r' a1rFisr�n�fsu:r'li]Ei' �N/Afor ICERTIFY THATUNDER PENALTY OFPERJURYOFTHE f J <br /> 1 C Whole TIMS) LAWS OF THE STATE OF CALIFORMA THAT ME , I <br /> INFORMAt1O.PROVIDES ADOVE IS TRUE AND CORRECT. <br />