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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suff ix <br /> 4789881 A ® Pick Up ❑ Delivery <br /> <; Facility Telephone Number <br /> Hauler Tire Program ID / Site Suffix DATE <br /> N . . Qa ®-� �oa � ao <br /> C w Whole Tire Count Weight in Lbs. <br /> M a r r:ty Business <br /> oVolume Cubic Yds. Weight in Tons ;zasn7, / F I <br /> «C Hauler"Mame <br /> TO EEE RMEE Fi <br /> e�alAiCE'Telephonei,�lSmbG'r A� `�t�`- - -�IGYj Initials <br /> ^� I (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> G U dV Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> r I INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />