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MV 7NE
<br /> 1101 38�a
<br /> Pi Rw_ceiPt P16MP Da'tgr 06/14/2016
<br /> EDT Maajrpn4;: 1],01638510
<br /> EDT Trip 1-9. S'71265
<br /> store NO: 036J6
<br /> FiRF«:�TODrF T1�IaCX B.el_
<br /> 940 CUTML AVE Lakin, Tire Wcsat
<br /> T.RP4Y, CA 95376 15305 9pr:ina RJc
<br /> PEONE; 209221-7164 smn•ta Fe Springs, CA 90670
<br /> TPID: 1699859.-01 PFTOXE: 800-468-2752
<br /> TP7Dr 1000659--01,
<br /> TxLtck: 4 234 68
<br /> Trailer: 53928
<br /> LloTnar Mj.ro ger: 9F34e29
<br /> Reglntrarj.on: 16-02345
<br /> State: CA
<br /> Tien (Whole Tir®Js)
<br /> T.�.,Cea PicY.ed Vp: ��
<br /> 196
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<br /> Illn:a• I�! P�,.:,: C411£orns.n chat tl,a f the sr_al n
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<br /> , Mt, awaro that E,�a,�44Scnr.;dl5 .�£ thio infprmnbicn may
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<br /> ! II� j Ql v�ll nna M"Y rnau7J; in o.,vi.l Rann7b:,^2 r.n
<br /> admirliatrative pnnoltJ.ae v, P :25.000 ❑or any, por
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<br /> cf. Cali Y.or, ury under the ,laws oS 1.))L. stota
<br /> uie thAt aha 4n�ormnunn prov.taed above is t,cun en�J
<br /> GOZ d:PGE,^
<br /> ©afar COntidetrttali-ty Mxm: The inforMation PI:OVided on this EorJct s o
<br /> +�� con4ri,dered cor..£idmntial h uld bre
<br /> AroFtieta.zy� ✓�J)d„lox trade 3ecrat. 2n accord�tzlco_ with
<br /> Tit-1.q 14, CCF, 5ec'C1 an 17041 et.Seq
<br /> m7 di®CLp6Ure o> thea alaa�,�1d any member cf. the publiw roquest
<br /> �nfr,,L"a�ation, I regUCSt 'Chat Cal,Rocycle c=tact m,e
<br /> addreart+ aDd telephone nu]nb2,r• above. 2C the
<br /> Elect-ro"J'C ,R@porti.n,q oto 'Z.AIR®.cyel— Lakin Tire West leas been au,t:hoty.zed by
<br /> Cal.Recycle to partir_ipote in the waste a-nr,1 Users Tir,r Mdnifest EDrp elCctronic
<br /> reporting program. oia bmh�„1..f_ i�;F the CU9t Oltter 1 fisted on this Fo.rJn; Lakin liras
<br /> Wast will. elm „'I;conically 'trd1],7Tnit to C�slRecycle a�3, required infozmatiM f...
<br /> 7^leis mannesl',:. CalRecyc].q, has approved the Lakin Tire West PDT farm for U,Ae
<br /> ur:lthi-,rn the UPr.,Vte Tire Mani.,£0st: System rL)T pyoyz�
<br /> Questi,ona, 1?loase coral:gCC your Cu,9Ceinez 9exvj,ce Repreorzntatae at 800-186-2752 or email,
<br /> Gustomeraerv�ce@lakintire.com,-
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