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-n <br /> � 6 <br /> D N <br /> < N <br /> O <br /> N <br /> � W <br /> —- Crl <br /> T <br /> n <br /> �J 0 <br /> 0 <br /> Load InformationProgram <br /> V16 Trip • NuMber <br /> (7 <br /> AJ 3 0 9 8 " 8 Pick Up DeliveryE E �, H51 — a <br /> ,aider Tire Program ID I site Suffix CC Facility Telephone Number D <br /> z 9 DATE Ell- C r 0 <br /> a-oa�000a © oa <br /> c w Whole Tire Count []Weight In Lbs. I� <br /> Co <br /> �I Z 'r El Volume Cubic Yds.❑Weight in TonsJ- <br /> >; -L6 <br /> I CERWY THAT UF�OER PENALTY OF PERJURY OF THE <br /> /� ✓7 / D Whole Tire 51 LAwS OF TH!SU OF CALIFORNIA THAT TBE <br /> INF TION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> We.Time $ ; <br /> Wheels ; ; <br /> `✓ Psrnsnt M%mudon <br /> Trailer Placement $ 5 Cash $ 11 <br /> Trailer Swfbah $ s �; Check ; i <br /> v W <br /> Trailer Removal Is Charge $ <br /> Total DtNToW `" Cl) <br /> I W <br /> Cusbomar <br /> Driver <br /> signature: �. Slp"atu'I°: J�, - i <br /> I <br />