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Deli ry 3 � � � ❑ <br /> Pick Up ❑ ❑ <br /> /"� ❑ hone Number <br /> �- <br /> 4789916 Facility Telep <br /> a <br /> Hauler Tire Program ID / Site Suffix DATENN EH O—OEEEEE <br /> ❑ ❑ <br /> w in Lbs.w [] WeightWhole Tire count a a <br /> Weight in Tons <br /> m Volume Cubic Yds. 1CO� Cs�i <br /> l 5 <br /> o g-lauler i,.arne � DOE <br /> all ., Label <br /> E ,t <br /> E](n Address Same as l-lau er Initials <br /> U oo <br /> I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> (N/A'0L <br /> LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> lauler ielePhone 1°ul� Vr Whole Tires) INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />