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�- <br /> 4893708 A 1�7Pick Up Delivery ?j TH S 2E— , <br /> n ElE <br /> Facility Telephone Number <br /> Hauler Tire Program ID / Site Suffix DATE <br /> . oaa � oaooaoa <br /> c w Whole Tire Count Weight In Lbs. <br /> 0 Volume Cubic Yds. Weight in Tons Na'�' <br /> ct�! [u-,1;Cs , S O U�CTrA S <br /> o XafAl r.Same <br /> �� IZ 'r i <br /> ❑ Acid-.-SS Sable a8 Hauler Initials <br /> . Telephone��elephone i u;-.ilv..r (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> SSS (�Q �� llt� Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> I 1 o INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />