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j 09/30/2015 13:19 20952 MCODYY TRUCK T . PAGE 01/03 <br /> WORK ORDER/ IFEST <br /> _ 6'15'154 N* 0-U <br /> 74877-5 O 3 4 8A <br /> Waste Tire Hauler Vftste Tire Ge erator <br /> - McCoy Tnick Tire 5erV"Center.Inc. Name: i'w►C-U all <br /> 1407 Lone Palm Ave. Addre55:'1f�11 S Qtr �M�` <br /> Modesto,CA 95351 1� Cit StateC <br /> 209-521-6221 t . �J ZipAS'Q�6 Phon -, <br /> TPID-1274877-01 TPI Dwith Suffix: <br /> Load Date:, t Load Type: [ le Cubic Yard ]Ton ]Pound <br /> Decal# 5 - g <br /> [ ]Pick-up Count: <br /> Licanse tl_'t, 4tan state= Grr I Dot Code: RWDY <br /> GULAR TIME [ ) OVERTIME rl,0C 1-OUT CUSTOMER POO -30Ly Ilk&4 <br /> F T REPAIRS WHEEL SWITCHES MTIDISMT <br /> LIC SEN t3� VE CLE MAIC MILEAGEit- N VEHICLE NO. <br /> LOCATION: Mr---c5 XAAA, <br /> WORK PERFORMED: --_- MILEAGE IN ZAl Z�•rJ <br /> YL !`IR'T — .- .. -.._ ._.... _. _. MILEAGE OUT <br /> .�ttt �� �►t.C. ..�tlr `� --- TOTAL --- <br /> vv4vv` ft }coo oS 12- <br /> TIME IN 2.5 A-= —_....._ <br /> #-A 'VA-'rACr: -(1 TIME OUT VLI-to- Pk— <br /> SIZE MFG- DOT* TREAD WHEEL COMMENTS <br /> 3 -, —�00 —•�GLd <br /> 5 f <br /> 7 <br /> 8 r <br /> Dkivers Signature: Da.ke:11101115 Customer Signature: Date: <br /> ! <br /> Drivers Name(print) '- Customer Name(print) a'1 <br /> I iNg odor ponyty CO porgy sirdar Vw kms d Am shm of Calpm#r,d to bd—.wbn r cm*thot p,r*r d veduy order the le.rc ar the d Ckrrm.le thel dr tnbrw+elbl <br /> pr'l a�ao 4�+w omraeL m Pdmepn.t are!r'PP tbt Im ar Gro Rvy Plzdad abarm tr tim and conr.v. n waanbn,l+m.ww rrmr riirlfcalten d IhW tnrarm.11m may <br /> .Mit�m.aelan orUerMei N rona W d=Zl a Tire Hem�Y�Ym oun.�rt roev11 cMl penYlee pb 525.000 De de�,ov NolrOon a eGrl�nlemWe Den�WA u010 55.000 <br /> n 9 fade 0.rN1W42400 and m_ry�R in e I ponpltlm up.6i26.000 party,, peryldodon per dq as dsoihnd In Pu cR�unr Gtdo merlon-2Ba2 <br /> per t4rh A l4A1ItR pemWof.Qb s%AM pm• Lnmftn P.rdeyr d220I.dY�Rthle <br /> Rwelivery�Al2Count- ___Q L Date Wsefe Tire Delnery Point <br /> [ ]Same AS Halder <br /> ��e Pre Dellvery Paint Wasto 77re Del/very Point <br /> WORK ORDER/MANIFEST I'7 McCoy Truck Tre Service Center [ ]McCoy Truck Tire Service Center <br /> 10850 Harlan Rd. 1537 E.Market St <br /> 274877 ®� 6 B French Camp.Ca_95231 Stockton.Ca.95205 <br /> TPID#1352986-01 Phone 209-832-0115 TP10#1779878-01 Phone 20@ 52-0434 <br />