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o � aa � oa�oo_oa <br /> Hauler Tire Program ID / site suffix / Facility Telephone Number <br /> cc. DATE <br /> =�.�Whdle Tlra'Count Weight in L6G, <br /> �_- � _�� <br /> d J -) ,�, (-�� / ❑r'VolumekCubic'Yds; ❑•VNeightihTons <br /> 0 Hauler Nan-re" �' qtr •�I�._r?� )l r .., 't ,' <br /> a _ <br /> r � Add✓ress 5a-me as Hauler <br /> I I�tLller Telephone Nrrmi�r.r L__1 mirrars <br /> I CERTIFYTHAT UNDER PENALTY OF PERJURY OFTHE <br /> TIf6s) LAWS OFTHE STATE OF CALIFORNIA THATTHE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. l �"' <br />