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rA LAKJN
<br /> " 1 1Re�z
<br /> Pickup Receipt
<br /> ED3r 40'Lif gat: 1101487221
<br /> UT Trip Juog: 538994
<br /> store NO: 036J6
<br /> FIRSTONE '.TRACY ��L7T.t2r and Edd vie S t �7 i
<br /> 946- C.EWRAG AVE Jaakin Tire West
<br /> TRACY , CA 95:76 15305 Spring Ave
<br /> 209/221,-716481111ta, Fe Sprl.jigsl, Cm, 906%0
<br /> `!'PID: 1694854-01 2'PXD: 1000659-02.
<br /> Truck: 4.23968
<br /> Trailer: 5.3140
<br /> License Numlber: 9F34829
<br /> Registration: 1.5-06936
<br /> State! CA
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<br /> Tire�j pick�ad, Up: Qty
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<br /> Conf i•ideait:Lal„ltp Claim: Thw information p,rovzded on Chis form should be
<br /> Cons.'idexed oonfidentia,l,, proptietar
<br /> .title 14, an, Section 17051 et,ea y'sand/ox trade secret. In acdo;,dance with �p DQr4,
<br /> discJ,oaure of this information g' hould arl,y membe of tier publi<, requevt �
<br /> address sand to � � rmqu,e9t that, Gali?ecycla contact me at the �W
<br /> 1mphon� number asbove.Eleatir %
<br /> porting to C�®cTc�: Lakin Tire West ham been author; zied by
<br /> Ca.lRecyCle to participate in the Waste arld Used T're MEMIfest EDT elalr;tronic
<br /> West repotting Program" Ott 1Y tra' sm trle cus'tq> 6E listed on this fOMn, Lak:tn Tire
<br /> this wi11 eleetronica,lly Cyarlymlt to ralReryicle all i-equtred infOznatlM from
<br /> this manifest. ca7.Recycle has apprOved the .Lakin Tire: WOOL EAT ,form Eor use
<br /> wi,thia the Waste Tire Ma.nifeat System EDT program,
<br /> Questions? Please Contact Your customer SM,r-,ice Represe,ratative at 806-488_2752 or ernail
<br /> cusxomerserv9,ce@lalcl,r�tire.eom.
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