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TW' auler <br /> • • • • • • - - • • e - a --- - <br /> 563704 -- B Pick UpDelivery Tire Program ID / Site Suffix Facility Telephone Number <br /> DATE aQ W .� Whole The Count �Weight In Lbs. <br /> t 3 Q ` Volume Cubic Yds. Weight in Tons vatne ddt �5s � <br /> E Hauler NameY15 <br /> w � <br /> a <br /> Hauler Telephone Number ■ Address Same as Hauler initials <br /> ��yy <br /> (y (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> ZO a) Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> W GJ INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />