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~!YORK ORDER 1 MANIFEST <br /> 1274877- b 3 8 ) 5 <br /> Waste Tire Hauler Waste Tire Generator <br /> I <br /> McCoy Truck Tire Service Center,Inc. Name: <br /> 1407 Lone Patm Ave. Address: <br /> Modesto,CA 95351 City: State: <br /> 209-521-6221 Zip: Phone: <br /> TPID-1374377-01 TPID with Suffix: <br /> J <br /> 1-oad Date: Load Type, [ {Whole ( j Cubic Yard I j Ton { ] Pound <br /> Decal # - - - _ _ [ ]Pick-UP Count: <br /> License#: Slate. Dot Code: RWDY I [ ]Delivery Count: _ <br /> SIZE r-.1FG DOT 4 TREAD .,VHEEL COMMENTS <br /> 4 <br /> , <br /> 7 <br /> 10 - <br /> 11 It = - <br /> 12 <br /> 13 -- <br /> -, -r— <br /> 14 <br /> 1^ <br /> 16 — — - <br /> 17 <br /> 18 _ <br /> 20 <br /> Dnvers Signature. Dote: Cu,tvrner S>gnat,rr,: Gate. <br /> Drivers Name(print) o� Customer Mame(pretty <br /> 4veafy Ikau prom panaRy d pern+ry ur JafiM 4nvf of rrn Sett u.allh,•,u Itw the a+Mm,alian I sBrlily ihW un4v otnalh/ur Par,,,sy un dol the I=t:f Ina glare ur'nidnrnu NY.Iht ir-aru on <br /> �rV+!dad ap.Na AVua Pnq S�' CI-In add' 1 im spare Tnt fMe,fra4.in of hn'a'dpl+NPnon may prm+Kted ahaes!a hva yitl�i VW In M.Nngn,a am arae d}e1 yArG.�am or—s4;Hv'W*n Wv <br /> ^aeuh IA=R <br /> u+tpa�srmdanlerOrt♦me"J Ina Waste 7Mt HarJK RopiS1f15An IaJeNjam r%U11 cm)poe'a*'up tL S25 7Qi7 aor da9y,qN ri0l61br.to P�mIMYRa'r�R Mng11Ma�p io S3.OL>0 <br /> fa <br /> "It'.PuWk Rozrx4*�.u W1.1 429W and rmy^v-d T v,t:DoN".tltlt t4+I: '!3 R r©aV. C�'"vuor ver day ::oft 960 on a39B2. <br /> pot!whew or aalnrfsitkv pannus aP Io 5.5,000 Pm'vk4mllw.W day as ftad <br /> Raacxi,u C.d%Wwtion 4;.H2 <br /> a�cuara r� [ j Imported Load I Exported toad and Lo-cation Hauler Exemption Status: <br /> i2 y Address: )Government <br /> w <br /> ( I LEA Exempt <br /> City State: [ j Agricultural <br /> [ Common Carrier <br /> I <br />