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11/63/2011 13:02 209-521- 1 MCCOY TRUCK TIP PAGE 01/14 <br /> WORK ORDER/MANIFEST <br /> 1274877— 35 9 8 7 <br /> Waste 11-re-Haular Waste Tire Genp.CatoE,� <br /> McCoy Truck Tire Service Canter.Inc- Name: �,> <br /> 1407 Lone P61m Ave. Address: <br /> Modesto,CA 95351 city State: <br /> 209-521-6221Zip: <br /> G-�r ,�I° q <br /> d 4, Phone: <br /> TPI -1274877,01 TPID wltTi Suffix: J --� <br /> Load Date: Load Type: WWhole j )'Cublc Yard [ ]T [ )Pound <br /> Decal # - jQ..0Pock-up Count; _ _Z <br /> License, St'�te; Dot Code: RWDY [ j euvery Count:_ <br /> SIZE MFG. AOT$f TREAD WHEEL COMMENTS <br /> 1 ._.. <br /> 4 <br /> 6 <br /> 7 <br /> 8,,, <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> _14...,.., _..... _ <br /> 16 ...„,.,,,,,, <br /> 17 <br /> 18 <br /> 19 <br /> Drivers Signature: D4& IrKustormor Si nature: Date; <br /> Drivers Name(P(rdl S Customer Name tint <br /> I oartlly mal uMar pwngN urtn�r In!1 Inwr.e1 the Braro of CnlNamin Cattle Inlomwllan I aallfy Hal,'1%#JA. wnny 17F pnr)ury Vn"r the Iowa of t v iipia or Mrarmi rh.r Ilrw Infti+nnaan <br /> pfoNded aoovo r.INo ane A Atldltlpfl,I Alli Swpm If Ht M1I Irl=d thio Irrfarraolen Rrey pfa�lgnE gpeVa U qU¢Ar Q_GpRxt In addflbn,l o e nwnro met fa amrnunn nl mfi nt tppn may <br /> roouh In�uspmolon,rwvocnlhn,Of dArr]�h ppf fr��l�ewnI or the woof.Tire Maulor R -o- urPll of n%rt Wy�I Mr MIV up IC$l6,U'D o0f day,por vInp Nr]r nAmlNahApuA f,��R91G19 Jp b 55.000 <br /> In Iha Ax Rnpp�,lroe CgQe eRCIIOn da p sed mny rosull In DMI ponalpm up m 1.1.9 111)0 hr tlgy, POP vkMllorl per�iy en dvnvrthnd In Puhric l3a,rgln;e Cole fe+Alon 42972. <br /> pef violallvn cr adminlShmlve parnllrm up to 15,111711 par vinlWIDn pw day ee Aeecrfbed In PAN <br /> jr( <br /> eodn anznlon 42369., <br /> M� a' [ ] Imported Load j Exported Lead and Location Hauler Exemption Status: <br /> Address; [ ] Govemment <br /> [ ] LEA Exempt <br /> City State: [ ]Agricultural <br /> ( ]Common Carrier <br /> Received Time Nov, 4. 2011 1 : 21PM No- 2465 <br />