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3965148 -- BTrxD <br />Pick up Delivery <br />Hauler Tire Program ID / Site S <br />0Whole <br />Facility Telephone Number <br />w <br />Tire Count Weight m Lbs.FcH4 <br />Volume Cubic Yds. ❑ Weight in Tons <br />57zcx(,1 <br />atela <br />- <br />i , state wind z 3Z 391o <br />P � <br />Stamp or Label OAC <br />Hauler Name <br />�G <br />• <br />for <br />�� Address Same as Hauler <br />I CERTIFY THAT UNDER OF PERJURY E F THE <br />xAauler Telephone wqr7 . <br />Yd� C ! (/ <br />Whole Tlros) <br />LAWS OF THE STATE OF CALIFORNIA IFORNIA THAT THLTY <br />INFORMATION PROVIDED ABOVE I' TRUE AND CORRECT. <br />