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Dec 03 14 12:01 p CECCHINI TRUCKING CO. INC 209-339-0108 p.2 <br /> Dec. 3. 2014 8 :03AM h ;on Ti r� :3"N0. 759QiP. 1 <br /> Toll Free 1-866896-06001 www.calrecyclO.Ca.gov/Tires/ _ <br /> CA Comprehensive Trip Log and Receipts ID002 Po a�"up,We"6, tA'2SW2 259 <br /> CiRegyde E L- E 1 2 3 X AMP _ Com rehensive Trip Number <br /> INSTRUCTIONS ON BACK OF PART 2rs ¢nrip�NOT TAPE,STAPLE OR DUPLICATE 4 8 v 3 <br /> 8I•qw�9 W.CA Comph .ycy L•p e"Reo•iM U I eyn•,t,)• 9WOW)ha hra Mn 0^rd,4on M fo•m wF)o•co+stavrc.coneldetfoll <br /> .70•I M oeQ.I II e:Ae•e t•moyJ by TIkC wI;tr ne 4/uff Vwm.CIIRecyde-A-V"q,r e�ynaie)v�d ie fm.n of(I..edd..ae.nd toHonom r-rtD¢proNdvd on 1Ildb Ann p�,�ql a�°"ce`.kh Title,14 CCR,3•ctlon <br /> Hauler Address -� <br /> Business Name lir o<-) <br /> Address <br /> City,State and Zip 33e i I�O <br /> 'iq r:. -Slate <br /> g CommaTT <br /> �. ❑ , <br /> - •='�, - Carrier <br /> LitrF I/atp¢I�,:-,W)do lk�'trs dJ�SAbdCaNb�iatw lrtu:ntp.•nalni acNGmoCret WaAna oarvcthaa7tl an•tem arse VaY kIq�.ecNonarota Yt Rarnatlon rmp vwh r� <br /> Ilaf 1kIGVr I I•ev+Q R•p•.s.:o,WdYtt to FVCIe Flm- •e Code eeg;ot 12M•M aW Wro))n,M-K;L l0A a Garter OFr I—ew'et <br /> coOa soatbn�aaz ^`W"evtt m d�•aw^>'ti+�vp to i n.Otwt.,•M`Y•Pc.viptxuen a ndm►dp V v pw.Ati•e•P:e u 000 t»�wCletion <br /> P. <br /> dee M G•oc.beO-Pvbrc P.+o,r,.rs <br /> Urtver's Name tint �,J Driver's Si mature U Date <br /> t Comprehensive Trip . • . ._ a ograrn ID Site Suffix 4846139 <br /> -- C h ;,: fie��vey <br /> _ :� _ �► - a <br /> Hauler Tire Program ID / Site suffix Facility Telephone Number <br /> bWE <br /> �- "� '��..: `• - Fey}lily ija3inE:ss <br /> Q ! !0 ' , olume�CuhJc.Vd D 4Me19ht in Tons: NcifllPl�1{�b1sS <br /> Hauler Name Q}rl;i zIn <br /> S1?F11p w Label OK <br /> i;tmrT�3{e13honb Number -:. i Address Some as Hauler Mrr�e� <br /> ICE. FYTWLRWZRPEWtg70FDEPJu RroF:neE <br /> L^'� ,� "t.�::.:.- •MJT10"TyTcnEs) tAM of THE 3L[TE of CAUFaW A nui T.E <br /> Comprehensive Trip '�' "" .-- tncutntrmon rav�ieaonsovE is rave ado caaRtt:'. r- <br /> •ANumber Load <br /> Hauler Tire Program ID ! Site SuffixFacility Telephone Number <br /> - -— --- --- - -- - Iry nt We[ kion Lbr9 EDO <br /> a LJ a <br /> ---�. _ I _�.�.•-•�a"rrra��Vfa.irt�r- '1iFhig�irt- "°� ;,......_�--:.�r-. . <br /> ' Hauler Name, - Gity, 5;tail5 Cnnc1 Zip <br /> 5iarttp or t,afrgi OK <br /> Hauler Telephone Number it ❑ Address Same as Hauler <br /> MI/Alar l CGFT-FY THAT U-MER PENALTY of FERJIATy OF THE <br /> - - .. ..w►+de The,) taws of TME S'ArE�CALtF�AtiA YNaY IFtE <br /> Comprehensive Trip Log NtImber Load <br /> � - tnk'O)tAr:.T)ON PtiOvlp®A8l7YE IS TF+urpNb CpRRECC <br /> Information • • • Site <br /> Suffix <br /> 4846139 -- A - ek p::. D:Deuverd <br /> -1484 <br /> auler Tire Program ID / Site Suffix = 'i - Facility Telephone Number <br /> DATE U.� � I-fLJ.•f.�C,�: �QH <br /> Cotert� <br /> -�Way- ,. . z.. (� <br /> y< Q r ❑volumecubicYds. ❑W,19ht9n:rtons � ftYY�F3aIwiYass <br /> Hauler Name <br /> 4Lmin tie In ?1 Stamp or t-2hei oK <br /> Hauler Telephone Number V s ❑ Address Same as Haurer t - <br /> MIA Lor ICERDFF TNgT uw)ERFe"LCF OF P6UURY OF THE _ <br /> Received Time Dec, 3, 2014 11 : 44AM No. 1153 <br />