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rom: 11 /n^ /2013 07:44 #386 P. 002/005 <br /> 1-209-242-3051 13:01:49 10-31-2013 2/5J <br /> WILSON WAY TIRE CO., INC. FLEET SERVICE RECORD ti lay' <br /> U.S. TIRE SALES TPID 1000837-1 157358 <br /> 901 Wjleon Way Tkre WUson Way 77re Recap #02 Connell Tire #21 US Tire Sales 023 US fire Sales f124 US The Sales <br /> 221 N.Wilson Way 153S Market.St 2211 N.Wilson Wby 2000 Yasemlfe Blvd. 1816 NationalAve. 6630 Franklin Blvd. <br /> Stockton,CA 95205 Stockton,CA 95205 Stockton,CA 95205 Modesto,CA 95364 NayWard,GA 94545 Sacramento,CA 85eZ3 <br /> 70Q 186-028! 209405-3202 208-406-258(, 20-671-5811 510.887.1282 918.3952245 <br /> USTObIEf; P.O.it DATE <br /> PHONE VEHICLE <br /> Au <br /> LICEN 8 <br /> LOCATION OF S ICE STA LP CODE <br /> —� <br /> CUSTOMER TPID� l q -L DECAL 1RJ-1 <br /> I csrflfy that under penalty of perjury under Uw laws of the State of California that the Information provided above Is true and coarct.In eddllioh,I em Kwan that falatflcatlon of <br /> lhla Information may result In euapenslon,revocation,or denial of rrnevaal of the Waste Tin Hauler Re0lstra icn pursuant to Publlc Resources Code section 42950 and may <br /> Mull In civil penalUss up to>iZ.9,000 per dry,per violation of adminlstntive penuftlos up to$5,000 per violation per day as deecribad in Public Rescumas Code section 41962, <br /> DRIVER bMQE DRIVER SIGNAP69E DATE <br /> X <br /> AAAKE TRUCWRAILER# LICENSE STATE ODOMETERIHUB <br /> Kim <br /> I'll WWII JI141t I <br /> SERVICE CALL MOUNT/DISMOUNT(S)ON VEHICLE BRASS VALVE STEM(S) <br /> FLEET INSPECTION MOUNT 1 DISMOUNT(S)LOOSE ALUMINUM STEM(S) <br /> AIR SERVICE LOOSE MOUNTS) VALVE STEM REBUILD(S) <br /> FLAT REPAIR(S) LOOSE DISMOUNT(S) ALLIGATOR CAP(S) <br /> REPAIR MATERIALS) -PRE(S)BALANCED METAL VALVE CAP(S) <br /> WHEEL SWITCH(S) RECONDITIONED WHEEL(S) O RINGS) <br /> FIN16H MILES: <br /> f <br /> START MILES: <br /> TOTAL MILES: <br /> STA TTIME: AM PDA <br /> 7 ON SITE TIME: AM PM <br /> OUT TIME: AM PM <br /> FINISHTWE: AM PM <br /> LOAD AMOUNT f KIT, <br /> 2 ❑GOVERNMENT ❑LEA EXEMPT LI OTHER <br /> ❑AGRICULTURE Ll COMMON CARRIERBACK HAUL <br /> 1r f' firfl Gt2' fft` sr� <br /> WHOLETIRE COUNT ❑WIEIGHT IN POUNDS <br /> ❑ IMPORT FROM.ti, <br /> DELIVERY VOLUME CUBIC YAft05 Cl WEIGHT IN TONS <br /> EXPORTTO <br /> 1 certify that under penalty of perjury under the leers o r State of CaUtom that the InfnrmtaUon provloed strove la wo and correct in adtities u t I <br /> M <br /> odcDorv�` am aware that falslfkaHon of titl6 lrtformauon may roauit In aiv0 al •up 525,000 par daY,per vbtatlon ar adminketrsUva <br /> penalties up <br /> =0,000perviolaUonperdayesdeacribsdlnPublteResourceaCodO <br /> cusi'dMER PRINT NME cu MER SIGNATURE DATE <br /> r-c+n L1— '1 a.7 Q 11;�R PLEASE CIRCLE STORE LOCATION AT TCP <br /> Received Tlme Nov, 4, 2013 7: 410 No, 0870 <br />