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WILSON WAY TIRE CO.,INC. FLEET SERVICE RECORD U.S.TIRE SALES gg (+ WILSON WAY TIRE CO C STi+1]•" � V r. .. .. ]]]<e vv.; p]]US nre Saea ISI US Tire lSe91v�. U.IICwW],; 'l ]:brDsunsrstensmf]as nNDT,.T]svP:rvuas•eIDr]nd•*,r1Teee0nx09e0e8-l 7e7• U.S. TIRE SALES FLEET SERVICE RECOR �_1o�abaT INC. f3-xAxasej "m n17837CA U.S.TIRE SALES TPIO70er l Lf Itlx Cnmrn Ths ITI II9 nra 9Ue• ante CA i- I av>r.Rr•eaR-. 191DNarbnnl Awe Saer]fix]•! __— __ _ -___ __ r v r3r3 MarFnl Sr. TT rN,Wraen W-y }etltl yeaemlM Blwl. Nara.eA 9a!•! p,b I '' (_/ i d -�- ,...._ // — SIO.aD>.ITD} VENICE[I CJ. l/ StnNran,CA 91N6 I Sa pMron.C•05203 ]ns•S>r•lall 1 _ .r•., ]M-f1�]eT TOTaae•nnl DnIL �j�i!`1 - _ -- —�-�--' _`�— "_ V(I I LIDENSE# _Y y_✓Y l• / 1L��_ vE.I C'LC /__ �✓_iceJ �— PNONr ��-(L.f + L^c'All\a.rJF SEMi['t -'4\ IP CODE I( `"I•�=1 I 91nTEI i— _ 00 CUSTOMER PID ( pECALN I sTiTE nDL L ! a to a I _ R Cor Ina 1>we nl in^.v�rnt.or r^Ilnrnl^Ihnt Ihn into al•nn provldca above le Irva and mrre rMbrmeMnrrvncnfrnn nr 1 nlal Im rval ni the W>fl.Tra N.uler Reel.lnl en pu^unnl l+.ut •� r (/ —� VJ.I• uPM tlJNl Csrfay.psr vlalallon of ndmrn Unties gene Ilea uplC DlabO perNciel on pnrdryndeacvb IGc fnrle aecr^ DECAL# NNE - DRIVEP.SIGNAIURE C•'•1 of IelalRc•Cen o] J CUSTOMER TPID I Lrl 7 Iii..' -�1' II nLlmeend<nnee m.ann.vo alo�nxsae.nd.nav t.Lir'"`,' X ovltleC abnr ypa peaeurtev e d a cane f.chm•xS42 OUOMHTF I �,a�M pMyr 1 rn brC a nl EnIllernle Ihat the Intima nn pr peeerlbea In Publle Pe° STAT L prrtrryyror ur.anr v urv.Ier :e SIM CeY ea bepenmm�,re Mellnn,ar brutal n(relnwnl of me Waete Tlr''��p>p°°�°elelloln ppr reunnt In Pu PATE rc TRllt::(�iRr\II.F'Ra •LICENSE e1: r,en mel neW In. � e i • - ,w„II ro ar.11 wnnmea un w FxS.oro m C>Y ner.Inlerrnn nl udminlarrenva DRIVER SIGNAilllaE ,a.ER.•Aert X ppoMETEPMUB ,_�_ ,: _ . -_ I - e •. • SI niC _ ._ �>_:-.TRU TIONS -OFF_ ___ � O.N _._ — O -� TRUCK'TRnII ER I \..._ OFF —A ® -------- ----- —�� -_ - OF WORN COMPLOT1'. DESCRIPTION OF 1e•'ORI _ __ \C 'R CDue,��D OTy DE3CRrin{ICN ETED — -- BRASS VALVE STEV(5 MOUNT/DISMOUNT(S)ON VEHICLE F WORK COMPLETED ALUMINUM STEMS) C� Ory OESCTPTIONO -'_EET:*SPECT:ON MOUNT/OISMOUNT(S)LOOSE DE..rre .o;op N/VRKGo'i-•�"'V BRASS VALVE STEM(Sl fgIR SERIryCE LOOSE AfOUNT(S) VALVE STEM REBUILO(5) _ __ N'ORKCOYPIE>EU MOUNT I DISNIOUNT(S)ON VEHICLE LOOSE OISMOUNT(Sj ALLIGATOR CAPS) ^-- _ ALUMINUM STEM(S) =��-.ZEoAIR15) MOUNT/DISh10U!'iT(S)LOOSE VALVE STEM REBUILDS) TIRE(S)BALANCED METAL VALVE GAPS) -REPNR MATERIAL(S) - LOOSE MOUNT(S) RECONDITIONED WHEEL(S) O RING(S) LOOSE DISMOUNTS) ALLIGATOR CAP(S) - :1YE`SNtTCH(S) METAL VALVE CAP(S) ^•e FINISH MILES ' TIRE(S)SALANCEO SZE Ar!$ nDES RIPPON i START MILES: _ RECDNDITONED WFIEEL(Sl O RING(S) _ J y,_ %.`,I ,{�, 1�•C.l�l, _ TOTAL MILES: •e e _ FINISH MILES _ MFG -— _ �• /;�;, "�,j 1 � l START TIME START MILES: J . ON SITE TIME: —/ r.: vl •{ TOTAL MILES' OIft TIME START TIME: FINISH TIME'_ ON SITE TIME: _ _ HAULER EXEMPTION IF APPLICABLE ---- - -- AMOUNT a. r __ - _- -- - OUT TIME: �f 1 I ]GOVERNMENT U LEA EXEMPT U OTHER FINISHTIM o-L AGRICULTURE Q COMMON CARRIERIBACK HAUL AO AMOIJ47 I _ __HAULER EXEMPTION IF APPLICABLE --` U PICS!UD - YPE'-? I JG'�/E°NMEPJT ❑LEA EXEMPT--- - --- --- OELMeRY - --- - - - a�OLETIRMUNT CQ _ r•�-; .' U OTHER a. AGRICULTURE pCOMMONCARRIERIBACKHAUL ?' S JEC�Jf±TT6 VOLUME CUBIC YARDS (]W�[GHTiNTO -'• TYPE - Dela, -- - --- moress oarMcwlMaro oli.ryinrorrnMfonl ryore N..ult eM CP.n•hrt upq opa i16f1116 All Iiiii IPMh WHOLE TIRE COUNT UWEIGHTINPb17 5 16A7wlohdeRpaldyndosrdbWlnPubN.Ft..- .Cad• e J LUME CUBIC YARDS U WFJOHT IN,1'LS{V T r+lwry urM•r n»btq of W auu of C•mitle,'p the Irlfarm+tlen res Ian L•n u,•t rygRl:•xw of NII miorm•uMi miry mun In elrll p•nellFn up S75,000 or day,P Ided 1b0"/�It TTW'1Kd r R C - CYlTOI� iRStT�� RIOiUTUR[ { S,goo p.rev,InNxt pe.d•ynd•acdb•d In PutdkRnou]o•Cod•nubn42062, PPar vlolHlon or 4dm10hSMC(eve FSR .L@ 170488 JI�C�Q >t" E� t �•DV � 1 J j O • 7 466 CUSTOMER SIGNATURE O