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Comprehensive <br /> . Log Number Load Information Facility Tire Program ID Site Suffix <br /> CL 3220992 -- A [—]Pick Up Delivery DEPEEMP <br /> _❑ <br /> U <br /> Hauler Tire Program ID / Site Suffix ❑© / ©� / �® Facility Telephone Number <br /> y DATE <br /> . ooa-000 © a <br /> w Whole Tire Count Wei ht m Lbs. <br /> � a � ❑ 9 <br /> r -Ci;it = Business <br /> y'E' <br /> 1 d✓r' ❑ Volume Cubic Yds. ❑Weight in Tons Name/Address U.S.TIRE SERVICE <br /> Hauler Name meaty, State and Zip 3014 S.EI Dorado Street <br /> ' - Sloddon,CA 95308 <br /> 2 '�Aarnp or Label OK <br /> Hauler Telephone Number ¢ 0003EM00 ❑ Address Same as Hauler/ Initials <br /> (2 �1 L �L% K (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THEj�h- <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. (/'� <br />