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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 4789911 A Pick Up Delivery � ® ® ® ® a �_ <br /> Hauler Tire Program ID Site Suffix <br /> Facility Telephone Number <br /> DATE ® / �� / �� ' <br /> ❑ ao� �o ® a � � � <br /> cc uJg Whole Tire Count E] Weight in Lbs. ❑ ❑ ❑ <br /> 2 (L <br /> - <br /> a)16- o cl� Volume Cubic Yds. 1-1 Weight in Tons kw-,-11-Td.66E <br /> 'I -M — <br /> E <br /> 5 Hauler Marne <br /> auler Telephone Number ■ E] Address Sarre as 1-lauler initials <br /> (NIA for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> I INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT <br />