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12/30/2014 01 :50 IFAX isacramE @eastbaytire. com Dianne Amaral Z 012/015 <br /> Toll Free 1-866-896-0600 / .calr® I .ca. vbras/ <br /> Dept.of Reaove0e110cw[Inq add Recovery <br /> CA Comprehensive Trip Log and Receipts 10002 P.D.Box 1259,SaOromlento,CAPS912-1269 <br /> Comprehensive Trip Number <br /> C 11�8G�C� E I X I A IM-1 <br /> amu o-/Cm9bm'e <br /> carRtG,�ysalnnoi(N3TRUCTIONS ON BACK OF PART 2 DO NOT TAPE STAPLE OR DUPLICATE z <br /> Sy.Ienlnq this CA Compt6litrWys Trip Lod and M o pt,the alDMrfs)request that 4a ItAamtllon prevldad on LNe krm Wlq b.oenddered OprlfldenW I,PreFrletsry erb Iratla cant In aCCerdanae whh 7111.,Ve CCR,Saallvn <br /> 17041 at seq,Ir■-quest le meds for dleolaaer.of thle tntorrrauon,Calnecycle Krill oardavt"via"et thle rvrm M IMIMIAraea and IWphone number P-Htlad ve rhls term or IaGeIPL <br /> Hauler Address <br /> Business Name ���r� Tire Company <br /> y', d Address � HUr�kir�Joon Dr <br /> City,State and Zip 2200 <br /> Common <br /> Fairfield; Cts 94533 <br /> u <br /> Carrier <br /> iceriRV Wr4w penalty at Pedlry uptl/rUn Ipweol the Stale of Catlromle that the I6fommuon pmvl0ed abvys Is we end oanaot In edde!e4 I am awee Iw Ieledleulon of We IMvmtslloe Tay MMA In aupen,lee,nnnaadon,m oenlal or ren-1 of <br /> Iha Wade Tire Hauler Raglat-tion puesuem to Pdolto Heeour0l Coda aaation 0060 trio R"-cult kl elvN tanaplaa up ra p 2s,Wd pee day.par violation yr adrnlnl.nalNe Paia�tlse up l0 66.Og0 prviolation Mt der u tlnoCrY�baed Ih/P1Vblla Flsourcea <br /> Code aeckanA <br /> Driver's NaM rint Driver%SI nature Date <br /> Comprelieffisive Trip Log M1.11111311-17 Load Information Tire Prograrn , <br /> S;Ie Suffix <br /> 466135 <br /> Hauler Tire Program IQ / alta Suiflx' p Facility Telephone Number <br /> �~ �f... ,'� •^.�.q,';�I.n}•,�-_ '0.�1'.,_� ir�?NYaM1 , V�. � ® 41.+®© 1�W 1�1 © �4! <br /> F--;iiirrftsitd'Boy Tire COmPWY <br /> �i�caq}-80;Horris Avenue <br /> ` E t tiy. � aciramen o, CH 95838 <br /> Hauler Names �� �,. <br /> I LY <br /> 0 Address Saule as Hauler m) <br /> rt „ H8Ui8)`r',%J7,TTf/{/yg)I1/pt(+[►/,7��+`r►�`.'e tl/{rUy'�ey'r},• r >rMr�. r q t?, 1,.• t 4', }... r, I PEITRFY THAT UNDER PENALTT OF Pe"RY OF THE <br /> i.z ° J/ 'U e.' 1 { rY v rI'F'�, ;y r , siy,•,,,r,` )M I6`- <br /> �`." �,. -"`P._•+ d-�3, ml' yea r,C.,.;i+' t LAM OF THE STATE OF CALMIORNIA THATTHE <br /> ON PROVIDED AROVIN W TRU AHo COA <br /> 4C�ta7 "14--AZ <br /> S� re t Fa Mjad a i t i}3 > F, �tFT <br /> Houler'Tire'Program llY / Site SuffIX t-� <br /> tt�I.�t�rf:c'>•:3i�lLjji7a 0 t:ii��,r;IJ C',•!,IL <br /> Hauler Name <br /> t r)R rn;3raT Li s)f TIO aboi IrJt�! 1oa 1T#i. ^e,., <br /> !S T Or Q <br /> -..•,..., �' !P' .}-i, P�4. %L,rl•} 1] ,t,yji Y1Fi' .•e 1'i't l� -. gi;r,9a"i'.,;. ' <br /> Hauler Tel h e {l auler <br /> / 3 ie b�� ttutwlTHaA TMa Tia r <br /> e <br /> ';IJ <br /> srr <br /> 466 ,39 -- ►�:ur. a � - <br /> Haute ram ID / `Ste fix <br /> '4f W� 17101 ,ricr.; <br /> ;I: r,-;gt•�7�tpt�;�:�uJ. 'I�.-,frac �,,� � © � <br /> � c, i:y�,.•tdi;eurrtlrit;i�s;�:xi J 1 It�:•s•.7�.-{.' <br /> Haute fAa4��p�rf4 <br /> ler <br /> Hauler Telethon umber <br />