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M71 •• • • .u. <br /> o h 1 <br /> Pick Up ®wave �d ® Le ® � �- <br /> 662553 U n <br /> l� I Facility Telephone Number <br /> y j Hauler Tire Pr®gram 1® / Site Suffix DATE <br /> o <br /> oar <br /> a <br /> re <br /> W LIS <br /> � 11Yhole Tire`Couht—®Weight-in Lbs. <br /> .a Volume Cubic �iwopht in Tars I I' am%cAres11, 4 <br /> y110101 �� - ( - <br /> o <br /> Hauler Name ` <br /> .0 o-- Stamp or L,1 r� <br /> � � I Address Same as Hauler ,,,a;a,s <br /> - <br /> i o Sl@i• 1c._ -,� GEU.§%�J�r (N/A for 00.ON ICERT7FY THAT UNDER PENALTY OF PERJURY OF THE <br /> S 911ho1e Tres) i LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> `�� 5 V � INFORMATION PROVIDED ABOVEISTROE AND CORRECT. <br />