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09/30/2015 13:19 20952 McCOY Tm" T" PAGE 02/03 <br /> WORK aRDER/MANIFEST <br /> 1274877-5 0 08, 4 7A <br /> Waste 7-ire Hauler Waste Tire Generator <br /> - McCoy Truck Tire Service Center, Inc. Name: asl� V Et%:T <br /> 1407 Lone Palm Address: S A K OVS LS <br /> Modesto,CA 95351 City: State: <br /> 209-521-6221 zip: 4,�2.vs Phone:'✓ <br /> TPID-1274877-01 TPID with Suffix: <br /> Load Date: C 1.-5 Load Type: [ ]Whole [ ]Cubic Yard [ ]Ton [ ]Pound <br /> Decal #4 S - 6 5? t4ick•u p Count: ____ <br /> License `LS l state: Do code: RWDY <br /> [-TlFEGULAR TIME [ ] OVERTIME [ ]CALL OUT CUSTOMER PO# <br /> FLAT REPAIRS WHEEL SWITCHES MTIDISMT A / 14 <br /> LICENSEN0.35 VEHICL MAKE MILEAGS_'SI�-GI��J VEHICLENO, Q ��G�b <br /> LOCATION: ' '�(" 1 N se-,% '�C <br /> I <br /> WORK PERFORMED:- -_ MILEAGE IN .. <br /> -..x)-S RFt.61t RQ+Lr�` �VSVv1..- PA000`�( .-_...—.__ MIRAGE OUT <br /> C-r-C TCx?0 TOTAL. <br /> TIME IN <br /> TIME OUT ►2 037 P `-�- <br /> SIZE MFG. DOT it TREND WHEEL COMMENTS— _ <br /> 1 Darr- ow <br /> 2 1 #oj POKkit <br /> s Cl�lr4 Q`r <br /> --- -- <br /> 4rl <br /> '52 <br /> y6 <br /> —7 �G-------- - <br /> Drivers Signature: Dated [ Customer Signature: Date: <br /> Drivers Name(print) YaeJ�`ra.� Customer Name(print) <br /> 1 errrr Y+st JMer parol y orpel�ry unbx M=or su ire of caamiM ore wa owxm IMn �csy diol under ponolgi d pa�uy u`dur 00 lows d tlro Sbb nF C 1ti 9Yd MM InfOn'MYDn <br /> pro+ldcd a0oya b Iola and mlrui- lrt eddt�on.1 dm arere fial fiwsomiim ortm 0 101 wev my pfP�M s0+•l�ln+p arN'srt�e1.in Nation.1 an avian�tifrfl�on d IMs Mmmtlrn mW <br /> df M a Wflans�on,naver�tllen,er AsrMsl d rolrlrafl d pn Wawa fia Wwlor ¢s91.7i hail djp m,.ao I0$25,Q�per day- r Vb"w ar ndr1lU�Ifl9tlss p"111"up 10"Mm <br /> Iv U.PoI#cResOuas Catleleteen�29Q0 end r-_ 'wh 00M1 DWW1461ep lgl2S•000 py erY. r—vu wm Pff" cwcr ro>n Rl6Mc Rm.GDda mdon J2BCL , <br /> pnr v[oldlan nr paollim w fa 39,000 ear vloldlan per day es dv.�l�ed Ie PY6FC <br /> ' ( SamsH� ►v PoRr <br /> Delivery Count: _ Date03ZIb ] e A <br /> nw a rrL DoSlAwy Point Waste Pre Delivery Point <br /> WORK ORDER/MANIFEST [ McCoy Truck Tire Sefvlm Center [ J McCoy Truck Tire Service Center <br /> 10850 Harlan Rd. 1537 E.Market St. <br /> 1274877— I /� !B French Camp.Ca.95231 Stockton.Ca.95205 <br /> T / TPID#13529813-01 Phone 209462-0115 TPID#1778978-01 Phone 209-652-0434 <br />