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oil I Ili • • • • , • • • •• T <br /> 5514351 -- A Pick Up ❑ Delivery ILI D P E F/ <br /> Hauler Tire Program ID / Site Suffix DATE f Facility Telephone Number <br /> [LIM <br /> a ole Tire Count Weight in-lLi;— pal <br /> s. <br /> ® aaaaoo <br /> Volume Cubic Yds. Weight in Tons <br /> N wl►�:? 1'(^� <br /> EInwift <br /> iauder 13ar:Te c.JUJU I1 -� <br /> 05H.F1E1--F <br /> i Laufer"�efPpl�Cne i^3uml.�er i <br /> (ole for LAWS FY THAT UNDER PENALTY CALIFORNIA PERJURYOFTHE <br /> Whole Tires) LAWS OF THE STATE E OVEIS TRUE <br /> THE I <br /> 1 INFORMATION FRONDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> %51938259 -- A Pick Up Delivery <br /> Facility Telephone Number <br /> [CIE]Hauler Tire Pro ram ID / Site Suffix DATE C' / [] <br /> / HN - HNE Rn- DE <br /> C w gWhole Tire Count 11 Weight In Lbs. <br /> 14 e <br /> Volume Cubic Yds. Weight in Tons <br /> c :4 <br /> g <br /> ■ irl;eiah <br /> t..�{ f' '�•J.j'yf�'/',////�/J 1 CERTIFY THAT UNDER PENALTY OFR <br /> JURY OF THE Y <br /> Qd/A for Ti .. 1 <br /> Whole res) LAMB OF THE STATE OF CALIFORNIA THAT THE RI, <br /> INFORMATION PROVIDED ABOVE 19 TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 5938271 -- APick Up ❑ Delivery <br /> Hauler Tire Program ID / Site Suffix (� n Facil' Tele hone Number <br /> y DATE �a p -, <br /> C w�Whole Tire Count Weight In Lbs. <br /> Volume Cubic Yds. E:] Weight in Tons <br /> o q5 <br /> o ■ 111W <br /> r I C�R�FY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole T�es) FORMATION PROVED ABOVE D 5 TRUE AND CORRECT. 1 <br /> l LAMS OF THE STATE OF CALIFORNIA THAT THE <br /> , <br /> I. <br />