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c <br /> m <br /> 0 <br /> CID <br /> .A <br /> v <br /> L4 <br /> m <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> a 3490482 .- <br /> B Pick Up Delivery �10 N P F1 <br /> - 09P � <br /> 0 <br /> el' Hauler Tire Program ID / Site Suffix �/ Facility Telephone Number <br /> DATEE UQ� ©1 <br /> »' U � V <br /> -0 <br /> W a Whole Tire Count Weight in Lbs. ® � <br /> F. <br /> Eq—� ❑ Volume Cubic Yds. Weight in Tons '. tiL{,-J;q <br /> fi�ailia I'�it 'hone Pdisiii 'r ■ L _I rlriitre:�;; :ir;t..e as ! aider rnrr;.rs <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE N <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE � <br /> INFORMATION PROVIDED AUOVE 18 TRUE AND CORRECT. <br /> M <br /> N <br /> O <br /> J <br /> M <br /> t� <br /> = G7 <br /> O C IV <br /> �0 <br /> IF <br />