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Pick® U` Delive <br /> O 65566 A <br /> le hone dumber <br /> c <br /> Facility. Telephone <br /> oSite Suffix n L� <br /> Hauler lire Program ID / ®��� <br /> r <br /> c Whole Tire Count Weight in Lbs. <br /> ! a 3' <br /> _ Volume Cubic Yds. Weight in Tons <br /> � <br /> E <br /> SEaI a�or Label OK <br /> a Address Same as l-iaelEer initials <br /> 00 <br /> I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> (N/A for <br /> "'SOF THE STATE OF CALIFORNIA THAT THE un-1 �_j <br /> Whole Tires) <br /> - e / p <br /> ml <br /> � INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />