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�. tComprehensive Trip Log Number Load Information Facility Tire Program ID Site Suff ix <br /> 48 93775 '_ C .: Pick Up ❑ Delivery <br /> Facility Telephone Number <br /> Hauler Tire Program ID / Site Suffix DATE <br /> wWhole Tire Count Welght In Lbs. <br /> co <br /> ElVolume Cubic Yds. Weight in Tons �./'an ss <br /> i o 1-9aule, i"larrme { <br /> „2 00 <br /> [ U ` a EEOEEMOO <br /> Adc,,ress Same as Hauler Initials <br /> 'Hauler Tele hone �'!U tuber <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE i <br /> i J Whole Tires) LAWS OFTHE STATE OFCALIFORNAT THE <br /> TRU <br /> l ( l tjJ 11 INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT.. <br /> l_ <br />