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TPID <br /> Site Suffix <br /> Stockton Warehouse <br /> Tire Transport Log #1526439-01 <br /> For Recycling And Or Disposal <br /> Of Nine (9)or less Tires <br /> Tracy Logistics Stockton Warehouse <br /> 4199 Gibraltar Court <br /> Stockton, California 95206 <br /> This document shall be completed and retained on file for a period of three (3) years when <br /> transporting nine (9) or less tires for recycling or disposal. Ten (10) or more tires transported must <br /> be manifested and transported by a state registered waste tire hauler. This document shall be <br /> available for review by a verifiable employee of the San Joaquin County Environmental Heath <br /> Department upon request. <br /> Destination: <br /> Name of facility and complete address) <br /> Number of tires shipped: <br /> Name of transporter: <br /> Method of transport: <br /> Person authorizing shipment: <br /> (Print Name) (Signature) <br /> Shippers job title: <br /> Received by: <br /> (Signature) <br /> Receivers job title: <br /> Transport Log Protocol: <br /> • Upon document completion the shipper shall provide the hauler/transporter with a <br /> photocopy to accompany the cargo. <br /> • The original log document shall be filed in the site manager's office. <br /> • The finial designation receiver shall verify delivery with his/her signature as indicated, <br /> • The receiver's signature copy shall be faxed to the sender/originator for filing with the <br /> sender's original copy. <br /> • The receiver shall file the hauler/transporter's log document photocopy in the site <br /> manager's office. <br /> TTLogdoc.4-2008 <br />