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Comprehensive . . Number Load Information <br /> Facility Tire Program ID Site Suffixp <br /> Q 4 8 9 3?0 9 A Pick Up ❑ Delivery ® � <br /> � ® ooaao <br /> Hauler Tire Program ID / Site Suffix PATE a� % ®� D[q Facility Telephone Number <br /> _ <br /> a �Vhole Tire Count � Weight in Lbs. <br /> Io Volume Cubic Yds. Weight in Tons I (, <br /> o E<<auler i zi—no �- <br /> Q C "T c <br /> S laa!ler sel Vps�crse 45murrber ■ n'5dc��s`�aaxc �i�ar.19 L"' -----J h <br /> Initials <br /> 5 r Jr� (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> i L/ �7 Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />