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5514494 -- A ®Pick Up ❑ Delivery <br /> ooa <br /> III Hauler Tire Program ID / Site Suffix ( , Facility Telephone Number <br /> N DATE NN [Ij .R <br /> aoo-� aoaa � Q <br /> Lu Whole Tire Count Weight in Lbs._ { <br /> /' f � i <br /> 16- �,�1. 10-L(,I i I� I ;/I ~ Volume Cubic Yds. Weight in Tons <br /> p H uk Nali,. —p— <br /> ��ry�-{�� <br /> TrleiJP;_):je(�Iuf;, <br /> Initials <br /> a ■ L{`-� \��: f 5 k� <br /> _..: ,.=. <br /> CERTIFY <br /> T UNDER PENALTY OF PERJURY <br /> i/ '✓ , ,` �� C �.. -- Whole Tires) LAWS OFT EASTA E OF AUFORNUI THAT THE F TMe <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT /J(/ <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 5514466 -® A 77 Pick Up Delivery UILI^ © 0- LILL <br /> U � <br /> (D Hauler Tire Program ID / Site Suffix ti Facility Telephone Number <br /> g DATE l- �� / '�" p <br /> N - Qa � a <br /> MwWhole Tire Count []Weight in Lbs. j { y <br /> y Volume Cubic"Yds:.E] Weight in Tons t <br /> E <br /> p <br /> L3 1A) i Rot <br /> EDER ■ �.-��--�. %t-4,_ � �..��, - <br /> 1 - � �' '�'f lnTtiaL <br /> /�JI✓� I r /( t f 2- I P <br /> (ole for 1 CERTIFY THAT UNDER PENALTY N PERJURY OF THE ; <br /> 7 —L7 y!•"y/ 7 Whole Tires) LAWS OF 7E STATE OF CAUFORNW THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suff ix' <br /> 5 514 4 75 -- APick Up Delivery <br /> 0 Program /Hauler Tire PrID Site Suffix Facility Telephone Number <br /> � DATE ®I'ti <br /> M w Whole Tire Count Weight in Lbs. _ <br /> ~ Volume Cubic Yds• Weight in Tons i`tr�' ✓�C n� <br /> ' "`S•LLL <br /> Initials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWINFO OF THE STATE OF CALIFORNIAOVE ISTTHAT THE <br /> � INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. � <br />