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3720400 -- Aw- [ Pick Up ❑ Delivery <br /> Hauler Tire Program ID Site Suffix DATE Facility Telephone Number <br /> aa � a <br /> o �fl® � aQa k o <br /> -fl <br /> 4 <br /> to <br /> Tire Count OWeight in Lbs. <br /> Volume Cubic Yds. OWeight in Tons <br /> E <br /> 0 <br /> 0 77 <br /> Adciress same as Hauler Initials <br /> I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> (N/A for LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> qF 51- Whole Tires) <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 3611732 , B LjPick Up ❑ Delivery w <br /> CL <br /> JIM S a �® <br /> Facility Telephone Number <br /> M Hauler Tire Program ID I Site Suffix <br /> DATE �® / V / U v <br /> oa ®-�oaooaa <br /> C Uj Whole Tire Count Weight in Lbs. <br /> Weight in Tons r <br /> Volume Cubic Yds.E1 <br /> Suffix <br /> El <br /> E P"i <br /> o Hauler Name <br /> M <br /> 6A , t <br /> M US 3tarnp er <br /> L) Mauler Telephone Number E00EPM00 [-] Address Same as Hauler initials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> qL)I Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> 7- INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 3611737 -- A ick Up ❑ Delivery ® � ®—a 0 <br /> (D <br /> 0 <br /> w 0 <br /> 4) Hauler Tire Program ID Site Suffix Facility Teleoaaphone Number <br /> DATE <br /> DE / ©® � ,_ � L '� <br /> hole Tire Count Weight in Lbs. <br /> Q5 I '--> E] Volume Cubic Yds. E]Weight in Tons <br /> Comprel <br /> oa00000 <br /> 36 <br /> E <br /> o 'Hauler Name <br /> I Ile, 7-5 <br /> L) <br /> Address Same as Hauler Initials <br /> Mauler Telephone Number I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> (N A for LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> Whole Tires) INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />