Laserfiche WebLink
Ju1 . 11. 2013 02 :27 PM HOF—IAN EROS 209 SQ6 0749 PAGE. 2/ 6 <br /> c <br /> State of California <br /> California Integrated Waste Management Board <br /> Tire Program Identificati'lo Number <br /> 161 ,1959' ='Ol <br /> Paul D. Hoffman & Sons SITE ADDRESS: <br /> 26577 South Banta Road 26577 South Banta Road <br /> Tracy, CA 95304 Tracy, CA 95304 <br /> )o not copy or reproduce <br /> ..... <br /> psi this eerttlicutc;in a cpnspiGuou;plDcc ■...■ <br /> ■■■■■ <br /> 30?Ii o8P 06 roans �.■■■ <br /> a 4554503 [—]PickU <br /> P FX1 <br /> Delivery LFdj <br /> C41 Heuer Tir®program!p / Site Suffix I� <br /> V DATE I ��II DELI <br /> Facility Telephone LNumber <br /> r LL I <br /> I" M Whole The Count E]Welght in Lbs. �'" ' 2 � <br /> ctr � �� � r. <br /> JE 19 I Volume Cubic Yds. Weight In Tons /CU <br /> �`"�2.Il�lliq '�.. if"lli"•.l:Ti' u;�i:';F{e;.,:i' _, <br /> 7' Ary <br /> (WA for I CERTIFY THAT UNDER PENA(jVOF PERJURY <br /> Ibu <br /> Whole Then) LAWS OF THP STATE OF CALIFORNIA THAT'H <br /> OF THE <br /> INPORNATION QRpVIOEO AEIOVE IQ TRUE AND CO,�RECY. <br /> Comprehensive • Number LoadInforrnation Facility Tire Program <br /> 4 3 61171 �- B Pick Up Delivery <br /> a Lull <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> DATE <br /> w Baa �o © aoa <br /> a Whole Tire CountWeight In Lbs. <br /> 110101 U Volume Cubic Yds. Weight In Tona � � � � <br /> QZ� -7 5. � Co-' �1" (moi, <br /> QIE <br /> TCA $5 374 <br /> ,.'Laf.!?Y' tii`u`�1 P�Tdi:F u.. �.,� 12';'t`.',';^Y ■ ' i !•w•�S�)<:iS=.:t ,'?''1:^, �d,Rlr. .. . <br /> �' I1 <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF VLRJURY OF THE <br /> ggoo �g-t lU 7 3 Whole T'IreB) LAWS OF fHE STATE OF CALIFORNIA THAT THE 1.S <br /> - INf'VRMATION PROVIDLOASOVE IS TRUE AND CORRECT. <br /> Received Time Jul, 11. 2013 2: 25PM No, 0721 <br />