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=3 � <br /> t1 <br /> Comprehensive Trip Log.Number Load Information Facility Tire Program ID Site Suffix <br /> . � �5,� iL s4'k't W •1itiu..y`�:�f-.. t`'k� �['��4L '�.;J'v <br /> in <br /> CL 438743aQwwoa-oa <br /> Facili Telephone,hone,Number <br /> Hauler Tire Program ID / Site Suffix ( <br /> Qaa- MoaRMP ® <br /> m a' Whole Tire Count',❑Weighfm Lbs <br /> g Facility l3usiWiJgf0ot Coi,nMCrtI811 re <br /> iy�.. 1 G � q � [� Volume Cublc Yd's:.❑ Weight.in Tons- Nc�4ttQ/Addr�;{�45 N Wilcox Ra <br /> E. Hauler Name City,utat2 3S-6'6kton CA 95215 <br /> i to • <br /> Stamp or Label Cr_ <br /> Hauler Telephone Nu6ber nLE] Address Same as Hauler initials —J <br /> /+��_• _� (WA fa 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> r ) SII' (7Y �}• Whole Tim) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> _ - INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> rr <br />