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Q <br /> 3243724 -- (± Pick up ❑ Delivery ® o a o ® a o <br /> Hauler lire Program ID / Site Suffix Facility Telephone Number <br /> DATE �a / c <br /> a hole Tire Count Weight in Lbs. <br /> ® oa®� o � oaa ® <br /> 101 C?/ <br /> ~ ❑ Volume Cubic Yds.®Weight in Tons r� <br /> / / /� <br /> fA � <br /> I:aWei E cles_sl�o�ze Number <br /> ® Address Same as Hawes <br /> ��e •++.���lll Initials <br /> '/ / / (N/A for I CERTIFY THAT UNDER PENALTY NI PERJURY THE <br /> / l / Whole Tires) AWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> I• <br /> c <br /> 3243724 -- B ,Fick Up El Delivery <br /> �®Hauler Tire Program ID I Site Suffix a� Facility Telephone Number <br /> m <br /> 1 w DATE <br /> Weight ht in Lbs. <br /> nw ole Tire Count ® 9 <br /> V 0 d ® Volume Cubic Yds.®Weight in Tons L AM.p/� <br /> o Hauler Name <br /> a _.:., .: <br /> =�CS:Zr� �SwfCiE cvS lo..,:��, Initials <br /> c Ci 31 3e f-1 .7wa� <br /> I � /� � (N le for I CERTIFY THAT UNDER O PENALTY NI PERJURY E THE <br /> i 1®�l % Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> ® INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> ( Q <br /> 3243721 <br /> -e ry <br /> Pickup D�01Ve <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> y DATE <br /> r <br /> f0 w ole Tire �❑ ®�®®® a <br /> .� Count ®Weight In Lbs. <br /> y a• <br /> e t- ❑ Volume Cubic Yds.®Weight in Tons = j <br /> y <br /> ULIZr. ff'dc�c G� <br /> �. / /// Initials <br /> (N 1A for <br /> 1 I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> LAWS OF THE STATE OF CALIFORNIA THAT THE 1 n <br /> -.. YVhole Tires) <br />