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c Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suff ix <br /> ompr' <br /> 4789887 /0� Pickup Delivery a a a © a ® a- L01Id I <br /> Q Hauler Tire Program ID / Site Suffix © Facility Telephone Number <br /> � DATE <br /> c w Whole Tire Count Weight In Lbs. <br /> 0 L 0I Volume Cubic Yds. Weight in Tons K1211, . i6 EP, S �l�fiv� S <br /> C-4-') <br /> oH paler lti@me <br /> U DE ,tame Or Label O'"_ <br /> I-Mauler uelep+lone €,!umber ■ Address Sane as E laL�ler Initials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> i G I Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> `✓-1 J (� INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />