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FT _ -.-_,,,�_u.-.....r.,.....� '� _.. -n— _ ., ., i, r•I I9 I In.Y I r r I -- .. <br /> Wf:"• T,. „r,�r n.n+,u.,l,: r rr 69 r!r . <br /> II�t <br /> � I • . . ItTro <br /> • <br /> rI <br /> Pick U1 Delivery Fj- I—' � L 33 <br /> Facility Telephone Nurrtber <br /> �', - -, ,;•�„+. t,sr f`rt�tar.�It� 1D Sit:? Suffix r_ 1 9-�DATEL <br /> t. <br /> r w Q Whole Tim Count Weight in Lbs. _ <br /> Volume Cubic Yds. Weight in Tons (� jC <br /> / <br /> �!/ / <br /> ale <br /> Q <br /> ;} '4=�;: ?E:'Y`�',h(+t➢xT �dL�1F±�}e . ■ Initials <br /> J (N!A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) aLAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORREr T <br /> � I <br /> ConWehertsive Trip Log Number Load Information Facility Tire Program <br /> 52r <br /> 79414 -- Pick Up Delivery — <br /> i;rP, Prrsgr2lrn ID / Site Suffix i Facility' Telephone Number <br /> DATE ,�� �, ,� <br /> w Y; Whole Tire Count O Weight in Lbs. <br /> a /�} }' Volume Cubic Yds, D Weight in Tans <br /> fij Y <br /> Initials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> i `i-� �- t�,1 WiloleTires) LAWS OF THE STATE <br /> OF CALIFORNIA THA{–THE <br /> -026 77 <br /> INFORMATION PROVIQEQ ABOVE IS TRUE AND CORRECT, <br /> 08 / 19 / 2014 ' ' , <br />