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5514495 -- A Pick Up ❑ Delivery <br /> Q u <br /> Hauler Tire Program ID Site e Suffix Facility Telephone Number <br /> DATE HR)l ' Eu ELI Qa - 7) a o.c <br /> f >a Whole Tire Count [] Weight In Lbs. ii ( <br /> VI�Ijl I L`,I ✓I� {:~; Volume Cubic Yds. F1Weightin Tons; ��.f ` r <br /> e ,Hauler Name (,.�!rC� <br /> U ,� 1•LL�( C a �l <br /> HztlierTete-hone Number .- ■ R1�, 5� ,ht A�me,�as Hal. tnrrtea <br /> y .,y �� (N/A for 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole ares) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE 19 TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suff <br /> Q 5514491 -- A Pick Up Delivery L ,{ <br /> t Facility Telephone Number <br /> Hauler Tire Program ID / Site Suffix <br /> d: <br /> DATE �� �LJ � t �. , �• r 'i <br /> C w J�LWhole Tire Count Vy ht in Lbs. <br /> to a <br /> } <br /> I✓ (v,I�L/I � � I � )It � F1 Volume Cubic Yds: Weight in Tons: ) n <br /> U PENALTY(" ` <br /> I Ist ler 7sI kP�t ie i�ilat�b , e r I __ _ - tn't <br /> Y 7 Whole Tials <br /> ires) LAWS OF THE STATE OFCA FORMA THRA THEF THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffly, <br /> 5514472 -- A Pick Up Delivery ® 3H © ® ® � <br /> CVCOrU) <br /> Hauler Tire Program ID / Site Suffix VFac ility TelephoneNumber <br /> DATECE ® <br /> -. PIE - EH � Pn <br /> a Whole Tire Count ❑Wetght In 6Eas! <br /> Volume Cubic Yds. Q wlrsf tin TonN [ <br /> s Uyt <br /> O <br /> .lic 2tl L10 LUotulS �. <br /> F s- <br /> ori QR9e - .. _ q ' <br /> cio�,cr Address Sanz es PFiat nwafs <br /> (NTA for 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE /L(� <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE i <br /> � � INFORMATION PROVIDED ABOVE IS TRUE AND COR <br />