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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suff ix <br /> Pick Up Delivery S <br /> .� 36546 B 0 ® 00000 � L� <br /> a � ❑ <br /> Facility Telephone Number <br /> Hauler <br /> ¢ Tire Program ID Site Suffix DATE <br /> / <br /> . ao � aa0000a <br /> a Whole Tire Count Welght in Lbs. <br /> � o <br /> M <br /> E] Volume Cubic Yds. Weight in Tons <br /> la <br /> 0Cot- <br /> U &74 Q A j^•Er ie?... :c1.9:F•z In'ila'C�l✓�/j <br /> H:tiler Telophone Mum er / <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> /•^ -� Whole Tires) LAWS OF THE STATE CALIFORNIA THAT THE -_- <br /> ^f � � INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />