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(AHA <br /> 11INo655E <br /> Pickup Roceipt Pickup Dane: 21/17/2015 <br /> nDT Manifest: 1x01506556 <br /> EDT Trip Log: 542667 <br /> Store WO! 034J6 <br /> = fll�.��3Ln8 lls® FaeLl <br /> FIRESTONE TRACY Lakin Tire west <br /> 940 CENTRAL Av7, 15305 Spring Aviv <br /> TRACY , CA 95376 Santa Fri Springs, CA. 90670 <br /> 209/221-71.64 'TPID: 7,000659-o1 <br /> TPID: 1E99Q54-O.1 <br /> Truck: 42346e <br /> Tra,i•l n.r: 53769 <br /> ZdcQn,ae Number- 9r34829 <br /> Registration: 15-06936 <br /> State: CA <br /> ItAm QtY <br /> 1'i,te3 flicked lip: 188 <br /> Ggneratos <br /> ����{I M�11 Ii1!��U'rI I�IIr•il'tj l�!it+' 11 I' '�„ <br /> vs <br /> qq dd r.. <br /> h, 'jl lr� It�ll�q/III r''1 •I'` � L' �,Ir ,!r <br /> ConfidefttIaIi.tp Cl:dm: The information p-rovidEd ora this form should bE Gc Dcxta <br /> considered confido;atia)., rz-opsietary; and/or trade mecret. In accordance with T <br /> Title 14, CCR, Section 170n1. et.seq, should any membcz of the public requost <br /> disclosuze of this inCozmation, I request t1;at C21,ReCyC.le contact me at the , a. <br /> a,ddre3s and telsPhone .nunbe,r above. ob <br /> • ti <br /> Electronic P,eporting to c4aj."Cle: Lakin Tire &,sC .hag bo®ra authorized by <br /> Ca,'Recyc],e to par1:l=-P&tt in the Waste and, Used Tire Malmi f,e,-t EDT elm.ctronic <br /> xeportina program, On behalf of the Customer listed on t1S,3 form„ Lakin Tire <br /> West will elect,tonIcally tzansmit. to CralRecycic all required information from <br /> this manifest. CalReCytl.e has appx'ovCd th.e Lakin Tire west ,EDT form to:-, use <br /> within the waste Tire Manifest 5yatonl EDT program. <br /> Oue3tion3'^ P12ase contaCt Your Customer Sn2v�,ce Representative at 800-488-P752o,r mmoj.l <br /> Customer.9e.r,�,iCeA .I.F11c1r7��ro.cum. <br />