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aeHtj.19; WILSON WAY TIRE CO.,INC. FLEET SERVICE <br /> � RECtO_D WILSON WAY TIRE CO.,INC. <br /> FLEET SERVICE RECORD <br /> U.S.TIRE SALES TPID1000897 Q —1 <br /> U.S. TIRESALES TPID 1000837 <br /> 1 NN Rn Lln <br /> isTxa0 fPnMan,Bwe. 6 nr si v.. n- J <br /> CA-xns nmrm Aiya n� <br /> :r r.mn cn ss u.e..r.cn os s,°vwer ixnxo• <br /> xo w,mv.r znasrsnn <br /> cavo- <br /> DATIi• <br /> r � <br /> GI ! <br /> � TiE AiE <br /> 0 <br /> DECALa - t DEC.,. �! I 1✓ ! ' <br /> CUSTOmur TPID - - - - <br /> 1 (' I _R T^[` I erAlly 1•xeeen <br /> ,�myrn ,Il.n <br /> 0!'S.oO} nit �. n,n•. <br /> D <br /> n, <br /> l.00an0 <br /> w •PUra VEURC% nrin W, <br /> X 1t q/HVD •Ln•'IL(T•SIt;NATL RE n L <br /> DDDMEiE ry1L t En:l'IU <br /> 'Z ENSE STATE I' - X $Inf F. IJDD O <br /> f Puen;f Rnn.ER s uceu.i. <br /> _ -- - -- T <br /> ON <br /> - -1 SnET_IALIN%TPU_TIONS <br /> -�OPWORK COtfPLLrE!_ OTY. DESCRIPTION OPµq RK COMPLETED DTv ISCRrPiION OF INOP.K COV <br /> RK <br /> ----- <br /> !__ BRASS VALVE STEMS) -- OTy OESCRrPTION OF WOR��1aP <br /> ! _ TED <br /> MOUNT f DISMOt1NT(S)ON VEHCLE. ALUMINUM STEMS) __ BRASS VALVE STEMS) <br /> -.•LL O.r I 11R1pT1(rlMq'pRn COLPLET�J OTt: OESCRI DISMOFWORK CCrA1EHICL — ---_ <br /> FLEET INSPECTION _ MOUNT!DIStA0Ur1T(5)LOOSE VALVE STEM REBUILD(S)- MOIMT/DISMOUNTS)ON VEHICLE <br /> c_3y1GE CALL ----�--- HLUMINUM STEM(5� <br /> AIR SEROCE LOOSE MOUNT(S) MDUNTI PSDISMOUNTS)LOOS VALVE STEM REBUILD(S) <br /> ALLIGATOR CA ( l p:;pT Ir;gPECT10N � <br /> LOOSE DISMOUNTS) _ LOOSE MOUNT(S) ALLIGATOR CAPS) <br /> FLAT RERNR(S) METAL VALVE CAP(S) <br /> Ar.SERVICE LOOSE DISMOUNT(SI <br /> I REpa1R r,1ATEP.IAL(Sr TIRE(S)6hLANCED <br /> ' RECONDITIONED WHEELS) ORING(S) ns,-REPPJRiS) METAL VALVE CAP(S) <br /> 4Y f.'=EL S:'OTCH(S) =10 <br /> r. GItIISH MILES�� j „^EPAIP MATERIALIS) TIRE(SI BALANCED <br /> TION _ �- RECONDITIONED WHEEL(St ORING(5) <br /> t�A — i'aN_F155•!'ITCh15) <br /> / .i }l 1-�1 �\11.�•(I,tel�� r FINISH MILES: <br /> I ! !- 1 11 �� 1 DES I N —��S� ,NFOSTART MILES:MA' I i' rl +t �!` 'r � TOTAL MILES:�....1.' <br /> . '°M11 Ant vMSTARTTIME:: Ab1 ON SITE TIME:OUT TIl.1E.�_.-_Atl AM Pt� <br /> i <br /> LOAD AMOUNT _ _ __ _HAULER EXEMPTION IF_APPLIC_AB_LE - P. <br /> _ ' FINISH TIME, Am I <br /> ——T`— ❑GOVERNMENT J LEA EXEMPT ❑OTHER <br /> —— ]AGRICULTURE ]COMMON CARRIER[BACK HAUL `::,HAULER EXEMPTION IF APPLICABLE R <br /> GOTHE <br /> LOAD TYPE -— �- —J- — <br /> )AD AMOU <br /> r <br /> UP Q GOVERNMENT ❑LEA EXEMPT <br /> [WHOLE TIRE COUNT ❑WEIGHT IN POUt — —- — = ]AGRICULTURE COMMON CARRIERIBACK HAUL " <br /> _------ <br /> _j,r-c ❑VOLUME CUBIC YARDS ❑WEIGHT IN TON: ;ICK UP <br /> 7 nQ+yT FPOM- _-_. ___ - WHOLE TIRE COUNT Cl WEIGHT IN POUND <br /> cnnKy mat under penally o1 pgery under lha I-of the Stala of Celifornla that tlu Infonnallon prev)daM abaw to"and Corram 10 MELNIERY p VOLUME CUBIC YARDS U WEIGHT IN TONS" <br /> ann oae that f+lun-11-of thl,INarmaRon may maul)in CMI pMaTOu up 905.000 par day,par Nlnlatlon df admVnlatnlM PMI i ]EXPORT TG <br /> I,.—p—lolatlon Archy n finer—In P,111,Resource,Cod.a,Cll,n 429M <br /> that vItj d/p.1(juyTornha mrf ri humh. In a of tall aml.alit"th S25,0 the 0pff da provkW Ebova h W"blO oR7CAMWI <br /> fAa0mdw of Vda InlarmAlM mrf'1nttR M cWll panalttn up f23r000 par My,par vlolaflon tx adfntrdtatr0pr0 A! 1 <br /> $5 pa,bfad Wdoyaadmr[badlf1P1y0c R"t **Codaaaetlon 42902. <br /> CUSTOMER PRINT NAME CUSTOMER SIGNATURE CATER �E U/9T011EA •E� <br /> FSR No. µ. CUSTOMER SIGNATURE a <br /> l <br />