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WORK ORDER <br /> 3730 N.WILSON WAY STOCKTON,CA 95205 <br /> PHONE(800)488-8473 FAX(209)467-4835 69350 <br /> ACCOUNT NO. _ TODAY'S DATE <br /> CUSTOMER _ - DATE PROMISED <br /> P.O./INVOICE# <br /> ORDER BY: _ _ __—_-_ -_ RECEIVED BY: - --__ <br /> [— OK RAR TIRE SIZE MAKE SERIAL TREAD DESIGN ALT.DESIGN REPAIR COMP. <br /> [FOK <br /> 3 l 3 <br /> 4 4 <br /> 7 <br /> ProgramComprehensive Trip Log Number Load Information Facility Tire <br /> 5-5 215 2 3 -- A Pick Up Delivery <br /> a 0 <br /> QHauler Tire Program ID / Site Suffix DATE Facility Telephone Number <br /> Vii' LJ IL.G! © <br /> — Count Wet htin Lbs. <br /> z Whole T1re ❑ g , <br /> m --�,;IVC(z��"iJ <br /> ! ❑Volume Cubic Yds.❑Weight in Torsio <br /> t <br /> Hauler Name <br /> o � <br /> Hauler Telephone Number ' i a ❑ Address Same as Hauler ,n <br /> (HAW i GERnrY TNAT UNDER PENALTY OF PERJURY OF THE Ez THE <br /> �-�' VfiCHr Tim) LAM OF THE STATE OF WFORMATION PROMDED A60VE L9µO CORRECT <br /> 17 <br /> 18 18 <br /> 19 19 <br /> -I--T2020i <br /> - -L <br /> REMARKS: <br /> CUSTOMER SIGNATURE: — INSPECTED BY. <br /> NOTICE!NOT RESPONSIBLE FOR TIRES LEFT OVER(30)DAYS CUSTOMER COPY <br /> Note,All credits are subject to inspections. <br />