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C:RDER)MANIFEST <br /> 1274877- <br /> Waste Tire LLIuleL Waste Tire GAauItQr— <br /> McCoy Truck Tire Service Center, Inc. Name: 1449 <br /> 1407 Lone Palm Ave- Addrins.-. is <br /> Modesto,CA 95351 City: State: <br /> 209.521-6221 zip, Phone: <br /> TPID-1274877-01 TPIDmth SL,ffi)( <br /> Load Dale �J Load Type: j 1.Whole I Cubic Yard [ j To,r i Pound <br /> Decal # ]Pick-up Count: <br /> Licerme State_,'''q Dot Code: RWDY ]Delivery Count: <br /> SIFS DOT# TREAD WHEEL COMMENTS <br /> IZ, <br /> 2 <br /> -31 <br /> 4 <br /> 5 <br /> J <br /> 10 1 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> Drivers Sqnature Dalp:�71,�l "culsorner Sgnature Dar: <br /> Drivers Name(print) Customer Name(print) <br /> UI wd4tum I Wft Now*Uw rAd* 11 pro's'U'l aw- s lfl�0, Aadlwl'I wn 1*0118 TW 40nalmr.of L"11 w, <br /> Qmw of.*ft"oj a =1011ME 'iyC E,01 fee LP In&��Xw <br /> Pa mrr.in PWSyt mg= g= <br /> C Zz <br /> OVA aw f <br /> .y1olady *jra; 4� "wtwal' M=04"1 rt 4%r*t 6=P�w L�.lv�w—;..rimy*0.10*0b�j <br /> 0— <br /> pArtN Imported Load Ex,)or-t(,d Load and Location Hauler Exemption Status: <br /> Addrets: Government <br /> LEA Exempt <br /> C4 State: Agricultural <br /> Common Garner <br />