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7rL 3744938 -- Pick Up Deliver o a o a a <br /> Z <br /> Hauler Tire Program ID Site Suffix Facility Telephone Number <br /> oa0000 <br /> OODD <br /> DATE a / �� ` �� <br /> Whole Tire Count Weight in I hs <br /> Volume Cubic Yds.E]Weight in Tons <br /> E <br /> 0 11,auler Name <br /> 5 7f' <br /> -7 k) <br /> -."auler Telephone Number Same as Hauier Initials <br /> --5 '71Y (N/Afor CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tire.) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TflUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 3744937 -- A13ick Up Delivery P 0 <br /> Hauler Tire Program ID / SiteSuffixFacility Telephone Number <br /> DATE 0] <br /> Weight , -- , <br /> n Lbs. <br /> LLJ Whole Tire Count i <br /> Qo ® oa0000 ® <br /> cc <br /> F <br /> wVolume Cubic Yds. ❑Weight in Tons <br /> E Al. lx?�,tqr74,f <br /> o Hiuler Name <br /> a-me as Hpuler Initials <br /> elephor-'.? N11.1ni Ez— OAddress S <br /> PH I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> (N/A for LAWS OF HE STATE OF CALIFORNIA THAT THE <br /> Whole Tires T <br /> 7,7- !97'/ INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix J <br /> 3744904 -- A Pick Up ❑ Delivery � a � � � � �-� a <br /> Weight in Lbs. Facility Telephaao-one Number <br /> Hauler Tire Program ID Site DATE <br /> ooOE <br /> U) <br /> 2 <br /> CU U.1 E]Whole Tire Count Weig <br /> a. 1:1 �1 '-A <br /> El <br /> E Volume Cubic Yds. Weight in Tons <br /> ■ L-1 Addr4c;��s Same as Hauler ler Initials <br /> iidUlet Telephone Num DE <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> '7 <br /> Whole Tire INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />