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Site Suffix <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID <br /> a <br /> 3561265 -- A Pick Up 0 Delivery 0 © fl 0 H 0 0- ] <br /> DATE aL] / H[] <br /> / Facility Telephone Number <br /> Hauler Tire Program ID / Site Suffix <br /> P'/'- P � o <br /> o <br /> -r w a Whole Tire Count 1:1 Weight in Lbs. �- <br /> M �>� c� `� ?� Q – C { a Facility Business <br /> � 04 <br /> it � � I � � � Volume Cubic Yds. Weight in Tons <br /> 4z,melAddress <br /> ity.Statp-Rnd PICK-N-PULL <br /> E <br /> Hauler Name 3927 Clark Dr. <br /> Cm ) - �� �� amf� §i6W6n,CA 95215-8231 <br /> Q \, Add—ess Game as hauler Initial! <br /> Hauler Telephone Number • I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> • _ _ (N/A for LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> Whole Th'") INFORMATION PROVIDED ABOVE t5 TRUE AND CORRECT. <br /> 1 I <br />