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FLEET SERVICE RECORD % WILSON WAY TIRE CO., INC. FLEET SERVICE RECORD N.(tT rl WILSON WAY TIRE CO.,INC. ^7 U.S.TIRE SALES U.S.TIRE SALES TPID 1000837• 1 7 0 TPID 1000837 N2N us Tr•sales Mi wlhrm way rrm wNanrl way Pry P— NO]coir nm .1,US Pre S.- N21 US THe solo: aL Us n•.-.•+. I n9l Wilann 4wy ore HShnn Way flr•Rec�n NUT L<nnvll Pm NaI US Pn Solan N>]ffT Pm Salva USJU FnnNlln blvd. }}1 N.1:;1--, 1[]l ml—St 2}+111 ml—Way 2600 Yoaemlln Blyd. 19x5 HeuOnnl Ava NSlO F+anYOn B/W. I 1 }}'N WlInOn NYy tC]SMarkal Sl, 2211 N.Wllaon W. }1100 YOanmlm Blvd 1911 NerlenalAv. nolo,LP OSa]J 919•Ymn.CA OSaOR '+ .".IotNfon, 3} 05. r LA 9NSN! Sacmm Srorklon,CA 83205 ModealA,CA 99JSN Hvyxrard.CA 9,bA5 I Sv<nmfnro.cA 4 Shr<afan,Gd 9J}OS Srn<Aron,GA 93205 �1 Slvcamn,LA 11-5 Atedea/0.GA 11111 Hayward, 916J95 I2a5 ] 21]F+Nsoxl+ 20p-aE1J T 209JBN-23x1 200.5r1.bR11 510.Rb1-1]R 91R-J99.}]13 nlr.AN.w2er }O9IN9a}S} }99-INn.alNr }09 Srx�5R11 Sn-Nba.r 11, / I.,oSeEa DATE l-�.__. .1 `i- - N Jy n )—• Jv/-S'�v{vLL --_pHOtlE— VEHIL Is Q B I,CENS£n �I— ____.. LICENSE2 � STATE LOCATIWI Oc SF.RVICC � SiFTE 00 7� "( CUSTOMER TPID - I I f -- DECLH t-I-1,r7 �� CUSTOMER TPID DECAL♦1 i�-V !/- -y� O 1 ( ✓Ct D �' r.tool ml.nuet� i < lon oI nn Wad aen-+n ie Hua and<•rma.ln.admdnn mr a.r, I tt mn n,lda m sml.m edu•.ma Inas Inn Ina,xmeu•n rmmeee nE•ve I.Hun and<9Recl.I�Addmn coda nioe as�aaflRd mnv I entry mae ander Mn,ny nrMann rl�nr me xa.n 9r Inn smm nr Cnnleml.me m.mro n erov d In n.mn<R..oumo enae f«o•,a Avb9 �� rnia rmal�•n m• nalH n of loo Wafly Tire Hauler Re0laVallon punuanl lO Punlle Raaaureef fa —62, h In nnnn5ten mey rryldt ln6m9•neloa rev utl9n.nr danivl or mrywal 91 the Wfsle Tl+v Hevler Re0lfxntl9n pumuanl b PUFllc Pefaureef CmM a•cll9n aaeR9 vnJ mn y m�l'n+��an.nalnr.�r.vn.enn..,nrdnnlel of mnewel 000 1 pard.y TIS desnrlbed In Punllc Reavurcef Ledeeecllen Ybin civil Mnaltlnf uP le$23,00 rda n ISU011 Of adminUlmllvepanfltlff up l9b5.000Mrv101ellan par daY ae ticecrl6e r•snNM ervll rynah�.a lm le f23.90n MrdeY.nfr vmlall•n el adminlalrnllra nnnelllaf u91O 35, Wer vlOa M Y.Mx•rro DATE IYeR NAME GHIVER SIGrInTUHE le DALE FxiAAIE n -�A'1 a`e/ DyRIVcR SIGNATURE. I , }(// f f S1ntE ODOI.VETERIH O E TRUCKITRAILERtl AIICENSE STATE ODOME11111, UD TRVLY TMILEHN •tICEx.ISE TIF .. _Ors _ SPECIAL INS TRVCTIONS CN _ OFF SPFCIAL'NSTHUCTIONS _ i - - • Ory GE5C1IFIION(1:W,1' OESCRIPr10N OF wORir COIJM_E'EO GYY' DESCRIPTION OF WORK COMPLETED O7Y. DESC.RIP'ION OF WORKCOMPLETED OFSCRIF71ON OF WUHr COMPLEi=O 4TY DE3CRiPF+ON OFSPORN COItfEHICL — RRASSVALVE MOUN71 DISMOUM(SI ON VEHICLE S_F'�'10E CALL I N40UNT/DISMOUNTISI ON VEHICLE I BRASS VALUE STEI.1(S) SER`JICE CALL ALUMINUM STFI.1fS) _ - ---- MOUNT 1 DISMOUNTIS)LOOSE _ --- _ ---IrISPECTION MOUNT/DISMOUNT(S)LOOSE ALIJMINUb1 STEMS) FLEETINSPECTION VALVE STEM REBUILL D!S1 -- -- LOOSE MOUNT(S) -= ACE LOOSE MOUNTS) VALVE STEM REBUILO(S) AIR SERVICE ALLIGATOR CAP(Si ---- - LOOSE OISGiOUNTIS) PAIR,Si LOOSE DISMOUNT(S) ALLIG.ATCR CARIB) !FLAT REPAIRS) Mf-.TAL VALVE CAPS - T1ftE(S)BALANCED _ _ REPAIR MATERIAL(S) _ -- O RINGiS) - =':Ic r,•-TEPlnu.I TI P.E(5)BALANCED METAL VALVE CAP( - --- RECONDITIONED VJH iSl RECONDITIONED WHEEL(Sj- ORING(Sl t,HEEL SW!TCH(S) nw;H MILES__ —111 scRlPn 1 N OE CRIPTION FINISH MILE I 1Y Sl fo I - ^xTYaTT MILES_ - I TOTAL MILES. { START MILES: TOTAL MILES: START TIME START TIME' - ON Sire TIME. - - ---------- OUT TIME. ON SITE TIM.. rN SH TIME OUTTIh 1�oUNT FINISH TIME _ MAULER EXEMPTION IF APFLICABL�, HAULER_ EXEMPTION IF APPLICABLE OAD AMOUNT ^ J GOVERNMENT LEA EXEMPT J OTHER JGO`✓ERNAIENT — — -- _ JJ � ]AGRICULTURE 7 COMMON CARRIER/BACKHAUL LJ LEA EXEMPT U OTHER • 7y r+5 J Ar,P.ICUITURE �. (�COMMON CARRIER BACx'HAUL K UPHOLE TIRL COUNT, 1rj�dFi LOAD.IYPE WJ . � J IMRT FROM - r, IVi HOLE TIRE COUNT ,DELIVERY Q VOLUME+.4y1 ' EfPOM TO JVOLIMF CUBIC YAROS C►,WE I<.n!fyR,alHnd-1P.A."OtP -d.the 1A*1OfIII*Stl.a�Naits I...Wiry m.t.oar p.nUxy or .��i am aware tbn flAlrta `,of tnlf/nformN4N+mry rasa r.thnl labmtat!on ni Ida farmnetlnn tmey nauttsln clvll Ca II ItMt up 1S pp s IS,MPpv vblatlaxMldiy sa dNcrrtnJln l'uWIL Rsaourn� c wolf �'a. S01;per pYOYldld a t3.5p9 carrotrfnrlpq dryer MlcTtbed In Public Refourcns Codas cli p{1982� �Par try•�r'rfo 1 �y F + O ?OYER PRINT NVrE ._ - CL FSTO R Pea k" CU970M8RRRRRRRR�u 7 0I7048NO I i�