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Compre' hensive Trip Log Number Load Information Facility Tire Program <br /> AL <br /> 3563745 -- /4 ick Up ❑ Delivery <br /> Hauler Tire Program ID / Site Suffix DATE <br /> Facility Telephone Number <br /> � a� / / <br /> M w ®Whole Tire Count Weight in Lbs. <br /> © aa0000ao © <br /> � a ��� Bus less <br /> IliO Volume Cubic Yds. Weight in Tons me A r Ss <br /> E Hauler Name v, kn wa�r- <br /> ci )lame as as- `Hauler <br /> auler533 d <br /> mbAd"dres <br /> � <br /> a <br /> Hauler Telephone Number ■ Initials <br /> +�//� 2a (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE LAWS`-`-`1- t 1—S 1 I Whole Tires) WS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. JJJ <br />