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Comprehensive Tr • Log Numb Load Information •• 1 Site Suffix <br /> a <br /> 4974518 <br /> Pick Up Delivery <br /> ¢. Hauler Tire Program ID / Site Suffixp r, r. Facility Telephone Number <br /> N-: DATE <br /> ; ole WhTire Count Weight Lbs. <br /> t6 R 0 ein <br /> I#fL y Sit! <br /> r, <br /> c ; j F- {Volume Cubic Yds Wgight in Tons llAdd c, s J} . <br /> Or, Ha{.{ie Name. 1i;f r_'•2 a�tL i j.r �vf .clv <br /> Hauler Telephone P1un;{nor a Address Same as Hauler initials <br /> (WA fer I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE - <br /> i <br /> Whble Tires) <br /> t <br /> LAWS OF THE STATE OF CALIFORNIA THAI TME ' <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information <br /> ::Tar <br /> Facilit <br /> ram ID Site Suffix <br /> 4974512 k <br /> -- l� Plc nr. 0- U <br /> p o��w� <br /> Hauler Tire Program ID / Site SuffixDAT_L �C `) Facility Telephone Number <br /> La Whole Tire n no <br /> n <br /> r+9Un4 .1_J Weight in L.bs.% t r <br /> m: � � % I� J I U� 4 -- ' � ❑'-VofumeCubl Yd's �j-a,_t;,(�,�t.�Ij;- <br /> c. _ Wight irrTons da ` <br /> 9V� <br /> Hauler Maine ,,Sta an <br /> 'ruler <br /> t� <br /> Hauler Teleohone Number Address Sarna as Hauler in <br /> $ials <br /> I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> J {NhOIg'�rg5� LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> b INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT `� <br />