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Aug 14 2008 9: 48AM LSTrR48 MANTECA 209-824-9350 <br /> 1 ,-'--r--- --- ` p. 1 <br /> Toll pr*e--4466-8%6 06W I WiWwadw oa�Qov/Tires/ <br /> cam.."IMegr Waite wimagemmt aoar <br /> CQim irehe 'F " .. and Recei is il)d02 <br /> . ,� e p P.o.aa>,,zeas sa ,cra see,x-t2� <br /> Com rehen ive Tri Number <br /> i~ <br /> INSTRUMIONS ON B CrK Oi=PARt2 DO NOT TAPE,SUOLE OR PLICATE <br /> BT Big"Ulm CA CatpnMaerM.TAWwW R <br /> p O eissi )s•gAr•e•atop hMu <br /> 4raYnn proNdd oA Wile/mm•Y Wan om propea"w d Oad•s•ereL is saWas TWe,74 CCR,NCNon <br /> 17 at q0.V a re•lrwt h rnWs lar-disdcatr•of thY VW!XWM spOcerleat the sIgnsr(•)M W e format Dw•ddw• er protrided on ibis form oraeesipL i <br /> Hauler Address <br /> Business Name <br /> 0 Address Ices Schwab Nkarehowe Venters <br /> City, State ar(d 7Jp 60 IAV.'M,adms Highwa <br /> Ptiueve, OR g7;54 it <br /> �. Crreurl <br /> aiI I� <br /> t � <br /> I csrtNy, y under perigp at perjury under the Wam of ate Provided ehm,e is kus and correct.In addilian,I am aware hikifks9on Of#I-Infornad thin stls,4n lob,n rotr+9orr,or derW of terwwal of uhf <br /> Waste Tire Ha ur Registration pursuant to Pul fo Resgrc�s Coder LBWon 42960 srd bey result In cM peneltice fop to$25,000 per del.Der viol oror a l5wisp"Nts up Per Ndation day we described In Pubic Readurces <br /> Gods sudbn 2 <br /> 1=2P ILK <br /> Driver's N lint riv tore Date <br /> 3510-022 qtr• . �l4J <br /> Hauler Tire Programa ID r I"IN. <br /> Facillly Telephone mbar <br /> DUr <br /> -O � Qfla� <br /> Fc.ail�r <br /> I 101 a 12 16 14 12-I f'41 i risi���rS�re�s <br /> CItf, Suede and ZIP <br /> Hauler Narne <br /> La Schwab 'Ster:iia or Label G 4c <br /> riauirar Telephone Nm ( 1 Address Same Ye Hauler <br /> I CKRWY TIIATtW"A P•HALTY OF PMJURY OF THE i <br /> .1 ,.5._41—447-4MIS r LAY/9 OF THE STATE.OF C•ALIFORNb,TWAT THE <br /> INFORMATIU1 1 1V1 A8 G tQ. OF ANO <br /> r <br /> Hauler Tire Prograrn tD I 51ie Suffix FeCglty rt'elsphon0 1 4umber <br /> 0 <br /> f4o"t <br /> 1JOI012JO14I f i 1 1 d I 7 <br /> ..Hauser Name - � <br /> Les Schwab Stamp of Label 0K <br /> Address 9afne as Hauler � <br /> Ituser Telephone Nlrrrliief, pp <br /> eOd1Y1FY'THAT UNDER I-MALTY`�'�` <br /> P£AAURV OF THE A" <br /> 1 541 —44':-4336 um is TIE STATE of cALF**P.THAT THE JJp <br /> • S <br /> On OF <br /> Hauler Tire Pragrarn ID 'I Site Suffix hh Fllitj►Telepilblfi umber <br /> i 01 <br /> 1101 1110 412 1 <br /> Hauler Nam k t <br /> 3.4 <br /> Afidress Samie as Houler <br /> Heat t!'pr TafeahOne+NU MihigY' t eatTrrTnwT utloat eBewt. qe P•A asRY DF TttE <br />