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.. .... ........ <br /> r—f <br /> i ` r■1 WORK ORDER 1 MANIFEST <br /> 1274877- <br /> Waste Tir�t aider WastaJire Generator <br /> McCoy Trucx Tire Sfirvlce Center. Inc, <br /> 1407 Lone Palm Ave. Address: <br /> Modesto.CA 95351 City: State: <br /> 209-521.6221 Zig,: Phone;. <br /> TPIO-1274877-01 TPIO wit11 Suffix. <br /> Lord Date- Load Type: I I Whole j )Cubic Yard ( )Ton ( I Pound <br /> Decal # - [ ]Pick-up Count: <br /> State: Dct Coe RWDY [ ]Delivery Count:__— <br /> SIZE MFG. DOT# TREAD WHEEL COMMENTS <br /> z <br /> 3 _ <br /> a <br /> Sf �', — ---- -— <br /> 8 <br /> T -• r <br /> 3 <br /> 1U <br /> 11 <br /> 12 ..._ _ - <br /> 1$ __—__ ._—._ .._. ....... <br /> - <br /> 14 <br /> 15 <br /> 17 _... ---... .._...__ <br /> 18 <br /> 19 <br /> 20 <br /> Drivers Signature: Date. Customer Signature; Date;. <br /> Drivers Name(print) Customer Name(print) <br /> I FaHr"t'Lutl crGer CenaM.y alt 't - Ir.c .• i , ,l 1f iMµtmaa::r 1:ens' r al arA;A 4+.nd11X oy rrek JrtCrir the la W.t.OWW 'ata l l;,pjtlryni0 th liar r+'arnnfiaa <br /> n���And ianr.se a Vey r++7 Wmm1 a�rp.o,, u, a Kir r r� ,r kt�rt..n a in mralton may [ yaA.ra>rn1 tr tnw ani carrad.in addi_rai,I xn dwAfR TI1r4'41diC4dcar PA ih�a in(atmhtlbry Awry <br /> m,%A r walwraian.ravrr�k+rr,Or 4rry t[d rrrw.wr qt I,M914iats rlrn iW�hw IralRrn pvruarn rncJh ail Comm"Mr to$25.009 FC rFa1.pavCtapoatar iMr�taOlt.+n Wax"mi fa 55;paC <br /> r..7m rvuk PohrrOrr'A Ewe acc#on imm rna achy rvwh n cwt,Parwlb"u,HI 5.t1w ppww any. ( ublrtkin.Corday ac nasctR+rd m PLM RBraarta C.w1r aacdon<.^951, <br /> pe.vlalahoo a d_irrAm F—uwlko up is$6 000 Par wiahon liar rlpi os c,Nr6h.4 Mr r*,Iwic <br /> R.1B+SuMr,:Jho ioOt:}r.AlgC2 <br /> �A138to j j Imported Load ( )Exported Load and Location Hauler Exemption Status- <br /> ?N. <br /> Address: ( )Government <br /> LEA Exempt <br /> City State: j ]Agricultural <br /> { j Common Carrier <br />