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CAARM <br /> 151 3 6 <br /> PiQkup Receipt pfakup Date: 7.2/02/2015 <br /> EDS' Manlfe9t: 1101517376 <br /> XDT TX:Lp Tog: 545345 <br /> Store No: 036J6 <br /> hauler =LEnd Use EaciUtt <br /> rX.RESTONE TRACY Lakin Tare West <br /> 940 CENTRAL AVE. 15305 Spring Ave <br /> TRACY , CIS,, 85376 Santa Fe springs, CA, 40670 <br /> 209/221-7;164 TPID: 1.000659-01. <br /> TPIn: 1.15,94854-01 <br /> Truck: 423466 <br /> Trailex' 43994 <br /> License Number: 9F34829 <br /> Registration: 1.6-02345 <br /> State- CA <br /> T,t4" Qty <br /> Tirea Picked Up: 1206 <br /> ,S:Lcmat=gs_of or <br /> 9.j,E!��i�'�rlji�qji d���,`�;'�j�`jl i II 1'41'y'1 1 •'��j ,�fll'�!�iM?�j, <br /> ,a� yj•.; ,�4�����►r+Ifl i,,. � IIS,, ,E,,, . ����, <br /> C*zxf.1.dInm%,U.a4ity Maim: The inform&tib» prcvi.d^d on thi9 form should be <br /> consi.d.ercd Con,fj.dential, proprietary, and/or trade aecxet. In accordance With � �p <br /> Title 14, CCR, Pection 17041 et.saq, should ary member of the public requistt <br /> dieclosLt.tP Of thio information, I request that Cel Recycle contact me at the <br /> a.dd.rcnr, mid telephone number above. ! <br /> 411eot.ronic Reporting to Ca]ROW-7al0: LAkin Tire west has beer, authorized by <br /> CalRecycle to pa.zticipate in thin Waste And Used Tire Manifest- EAT electronic <br /> reporting pzogram. On lzehal.f o,f, the =$tower listed on thio form, LAkin Tire <br /> West will, electron,s,cally t]'RT13;SLit to Ca1Recyc].e all required informatJon from <br /> this manifest. CaJ.Recycle 'rias approv0d the Lakin Tire Welt EDT form for unp <br /> within, the T#;BNtq Tiro M,arLi•i;est System EDT pr_oq,ram. <br /> QuestionO Please contact y.us Customer SQ1vi•Qe Representative at 800-498-2752 or 2maU. <br /> custemeraeL'uic2@],®ktnt:l•re.C:am. <br />