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Comprehensive Trip LogNumber Load Information Facility Tire Program ID Site Suffix <br /> 4 26 0 3 (-) I -- A Pick Up Delivery a © ® a o ® o-a a <br /> Z <br /> Hauler Tire Program ID Site Suffix Facility Telephone Number <br /> X DATE © a >'` �� `� ®� � � <br /> as ® aoo ® oo ® <br /> LU <br /> VWhole Tire Count <br /> 4) Volume Cubic Yd.. ❑Weight in Tons <br /> E Fr <br /> o Ham: N, r, " <br /> to —7 <br /> i"z& moo no7 on 0 U Same as Haulet <br /> Hauier T elephone, Nuiriber Initials <br /> (N A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> U Whole Tires) <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />