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iComprehensive <br /> . Log NUM <br /> 6 ❑ ❑ ❑ <br /> Pick Up ®slivery ❑ ❑ ❑ <br /> 5535039 -- <br /> 2- A ❑- ❑ <br /> Facility Telephone Number <br /> Q) Hauler Tire Program I® / Site Suffix DATE 2 <br /> m <br /> a Whole Tire Count Weight In Lbs. i r Business <br /> D O L) ® G I Volume Cubic Yds. Weight in Tons y <br /> l� fy �iSS ►�v2 ✓� <br /> r1 ) <br /> a���i'ec - 45 3,6 <br /> 5 Q 7 i Ar�idress Same as I-IEL ler Initials <br /> �ass`sEi' ie:��pJ:i CJ % Pa is°'(���' ® (N/A for 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE v✓/� <br /> �y � � I��� INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />