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NOV/17/2015/TUE 09: 51 AM JSG cking FAX Nc, 209-36 —0879 P. 004 <br /> •p <br /> 5201234 -- A <br /> Hauler Tire Program ID /_ Site:Suffue ? r D `+ �` Facility Telephone N,�Jmber, <br /> EWK-N,W W N W H H <br /> M. <br /> C Hauler Name (-,�\ G <br /> ■ Address Same as Hauler <br /> Hauler Telephone Number ❑ � gals <br /> � <br /> '1 J O (N)A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> 1� 'Whole Tircc) LAWS OF THE STAfe OF CAILIFO IA THAT THE <br /> INFORMAON PROVIDED MOVE IS <br /> T TRUE AND CORRECT. <br /> Comprehensive Trip Log Num.be,:­r­. Load Information Tacility Tire Program ID Site Suffbi <br /> 5201231 -- A Pick,Up : LjDip(rve' ry. <br /> Hauler Tiro P'rograat 1D: /, Site Suffix ,: Facility Telephone,Number i) <br /> fAl Q ,. t� I! ( Wq!RE W :5® 1`r I W H E <br /> ro ;i N .aiI tel [r�Ct�UAy pi;:� � �n fi�'I I " r i :,;:•'ti <br /> g. i <br /> D1 Oi DI .O , ': °; �. :SJ-A•,+ 1!gtumg.-,c.u6tc.J•.,..•l�sQ-xA�g.S?.� •4171�i�ai` �•�Trn'Sk� "r`� Y <br /> oHauler blame <br /> Hauler Telephone Number ■ Address S me as Hauler initials <br /> _ ..��77 •(N/A(Or 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE n <br /> S /�I Whole Tjres) LAV19 OF THE STATE OF CAL JPORNIATHAT TIE <br /> (/ WFORMATON PROVIDED ABOVE 18 TRUE AND CORRECT. «`cccJJJ <br /> Comprehensive •Log NUrriber1 • Info?mationProgramSite Suffix <br /> a <br /> 5201225 -- Q Pick Up ❑ �euv�r�r 0 U �' <br /> Program Ib. / Site Suffix f [Aj.j�. FacilityTelephone,Number <br /> Hauler-fire Pro <br /> Hq�.. <br /> (tW 7J1�1lh��pCJrTt <br /> S <br /> l t• 7 <br /> Q Hauler Name <br /> Hauler Telephone Number S Address Same as Hauler <br /> ^� r� (C_ f1 •• <br /> (NIA for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THD <br /> W hole T7les) LAWS OF THE$TATE OF CALIFORNIA THAT THE <br /> G "-VV VV J INFORMATON PROVIDED ABOVE 18 TRUE AND CORRECT. <br /> Received Tlme Nov, 17. 2015 10: 08AM No, 1421 <br />