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Com <br /> prehensive Trip Log Number Load Information <br /> Tire Program ID Site Suffix <br /> a 4 1 -- A Pick Up Delivery ® _ <br /> �� oaooaoo <br /> cc <br /> Hauler Tire Site Suffix ram ID Program / Facility Telephone Number <br /> DATE NMI P <br /> Qoa� �o ® oar <br /> coo m Is Whole Tire Count CWeight in Lbs. <br /> � a <br /> a ❑ <br /> votex <br /> y ® ElVolume Cubic Yds. Weight in Tons <br /> U crani or L a�3el 0< <br /> soler Telephone G`9eaml?er ■ �dclress Same as FlaoalQr Initials <br /> _J <br /> (Nfor I CERTIFY THAT UNDER PENALTY PERJURY OF THE <br /> Wholele Tires) LAWS OF THE STATE OF CALIFORNIAI THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />