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a <br /> 5514473 -- A Pick Up Delivery ❑ 0 �I ® ®-0 ❑ <br /> Hauler Tire Program ID / Site Suffix ❑ ❑❑ l Facility Telephone Number <br /> � DATE C U � S I �•• <br /> U.; Whole Tire Count ❑ Weight in Lbs. <br /> a �io� osoaaoc <br /> C.I lI �/I ~ ❑ Volume Cubic Yds. ❑ Weight in Tons <br /> E Houlet taa„•,, ��l6'� L�C�fY) l �d <br /> N <br /> "i�?1.tl;=t T?to;�(iCrl^itl�IrT(•)at" Q � L� jiC:l'f�reSS�3Y�:i F::: i•pU:=,. ��. <br /> r1 /1I CERTIFY THAT UNDER <br /> ems% Ifll ( PENALTYPERJURY F THEJ+LlL Whole Tires) LAWS O THE STA OFALIFORN CALIFORNIAA THT THE <br /> INFORMATION PROVIDED ABOVE Is TRUE AND CORRECT. <br /> ,:-'C' omprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffl <br /> 5514244 -- APickup I Delivery <br /> (D Hauler Tire Program ID / Site Suffix <br /> ` Facility Telephone Number <br /> DATE ❑ L�1 ( l [9p❑LU _ <br /> BRENQD <br /> a.c u Whole Tire Count ❑ Weight m Lbs. <br /> cc <br /> Q D i i�, ► ► ! I ❑ Ctititi <br /> i � ~ Volume Cubic Yds. Weight in Tons, /.� ii <br /> E Hauler Nave02(�(��j l�I LC � . <br /> UI )i I ,k r L` — <br /> _ i ■ � , s� e - — ii --- <br /> (4`�l/I�Et• (T�1glienJ'r,��n�J2 P`�t?mber (WA for I CERTIFY THAT UNDER PENALTY OF PERJURY OFTHE 'O <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> `/1✓ \ ( INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT <br />