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WILSON WAY TIRE CO., INC. FLEET SERVICE RECORD <br /> U.S. TIRE SALES ENTERED TPID 1000837- 18 4 E 0 7 <br /> #01 Wilson Way Tire 1Wilson Way Tire Recap <br /> 1V02 Connell 71re W44,9— #23 US Tire Sales #24 US Pre Ss leg <br /> 1633 Market St- 2211 N.n,CA Way 2600 Yosemite 364 Hayward,ri CA1Ave. 6530 Franklin Blvd- <br /> 94545 Sacramento,CA 9582 <br /> Stockton, <br /> N.k Wilson Way Stockton,CA 46205 Modesto,CA 93354918.393.2245 <br /> Stockton,CA 95205 Stockton,CA 95205 T09-466.2581 209.571-3611 510-887-12a2 <br /> 209-465.0281 209-465.3282 DATE <br /> AO.# <br /> CUSTOMER !� �—, _ <br /> PHONE VEHICLE# <br /> I <br /> LICENSE# <br /> GGo ass <br /> STATE ZIP CODE <br /> LOCATION of SERVICE � � �+ <br /> -----� —r—T— � DECAL <br /> CUSTOMER TPID �� <br /> � �-' 1. <br /> I eerill that under on may resulof t in suspension,under <br /> rlbs laws evocation,tlon,toredenlal of State f California <br /> of the Waste Tireat the eHaultion er Registration pursue t to Pubi'crovided above is true and lRlesoudrees Coda section l42960 atnd may of <br /> rats 1 In civil on may <br /> ee up to n susp0 per day,Por violation of administrative penalties up to$5,000 per via tatlon par day es doscri"d in Public Resources Code section 42962. <br /> DRIVER SIGNAT DATE j <br /> DRIVER NAME X <br /> t <br /> TRUCKRRAILER/ LICENSE STATE ODO-41ETERIHUB <br /> MAKE V� (� <br /> ' G S <br /> O OFF _ <br /> SPECIAL INSTRUCTIONS <br /> Qry. DESCRIP OFWORK COMPLETED QTY. DESCRIPTION OF WORK COMPLETED OTy.. DESCRIPTION OF WORK COMPLETED <br /> SERVICE CAi_t_ <br /> Z4 r MOUNT I DISMOUNT(S)ON VEHICLE BRASS VALVE STEM(S) <br /> FLEET INSPECTION _ <br /> MOUNT I DISMOUNT(S)LOOSE ALUMINUM STEM(S) <br /> LOOSE MOUNT(S) VALVE STEM REBUILD(S) <br /> AIR SERVICE ALLIGATOR CAPS) <br /> FLAT REPAIR(S) LOOSE DISMOUNT(S) — <br /> TIRE(S)BALANCED METAL VALVE CAPS) <br /> REPAIR MATERIAL(S) - _ O RINGS) <br /> WHEEL SWITCH(S) RECONDITIONED*.HEEL(S) <br /> DESCRIPTION <br /> FINISH MILES: <br /> QTy SIZE MFGSTART MILES:_23 Y,5 <br /> TOTAL MILES: <br /> U STARTTIME: __,—GPM <br /> 1 ON SITE 71hSE: .� _�_�PAS <br /> OUT TIME: AA 19 <br /> FINiSHTIME:�Q_�AA1(W <br /> HAULER EXEMPTION IF APPLICABLE <br /> LOAD AMOUNTOTHER <br /> ❑GOVERNMENT ❑LEA EXEMPT U <br /> AGRICULTURE El COMMON CARRIER/BACK HAUL <br /> LOACI'TYPE <br /> ❑PICK UP El WHOLE TIRE COU-NT ❑WEIGHT 1N POUNDS <br /> Q IMPORT FROM_ <br /> WrgELIVERY Oi'VOLUME CUBIC ARDS Q WEIGHT IN TONS <br /> Q EXPORT TO <br /> I cartily that under penalty of perjury under the laws of the Slate of California that the In(ormstlin Provided ab ova Is true and correct.In tiesaddition,pt I <br /> odcDuio��� am aware that <br /> fallsipeation o this Information <br /> nfo matin In 1cReso salt In civil <br /> penalties <br /> $25,000 per day,per violation or adrninletrative penalUea up to <br /> $5,000 po <br /> V <br /> CUSTOMER SIGNATURE DATE <br /> CUSTOMER <br /> FSR No. 184607 -OMER PRINT NAME PLEASE CIRCLE STORE LOCATION AT TOP <br />