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(fii�D <br /> WILSON WAY TIRE CO., INC. FLEET SERVICE RECORD <br /> U.S. TIRE SALES I \ <br /> t101 LNlison Way Tiro Wilson Way Tire RecapTPID 1000837. 16 9 0 13 <br /> 221 N.Wilson Way 1535 Market SL 902 Connell Tlry 021 US Tire Sales #23 <br /> Stockton,CA 95205 2211 N.Wilson Way191 N tioT7rn Sales M21 US Tire Sales <br /> Stockton,CA 95205 2000 Yosemite Blvd. 1915 NaflanalAve. 6530 Franklin Blvd. <br /> 209.463-0281 200-485-3262 Stockton,CA 95205 Modesto,CA 95351 Hayward, <br /> 209.466-2581 209-571.5611 510-897- 8 9<515 Sacramento,CA 95823 <br /> �USTOMER. 510-867.1282 � 918J95.2215 - <br /> Ca✓}'a.�H ca.� P.O.t� � _ DATE <br /> PHONE VEHICLE# <br /> /3a <br /> LIIC'EIN'SE# <br /> .00ATIONgERVICE <br /> 46�—LCA/ }rye_ STATE ZIP CODE <br /> CUSTOMER TPID <br /> DECAL q <br /> I cs Int That under ponslty o!perjury under the taws of the Stets of Cnllfomfe that the Inlormellon pravlded above la true and correct.In addition,1 am aware that falsification of <br /> this InfIfyormation may result In euepanslon,revocation,or denial of renewal of the Waste Tin Hauler Registration pursuant to Public Resources Code section 42950 and may <br /> result In civil penalties up to S28,00D per day,per violation of adminiatrallo penalties up to$5,000 per violation per day as described In Public Resources Code section 42962. <br /> )RIVER NAME / U <br /> X VERS DATE <br /> p1 i��tT • 13, <br /> •]Rig -liffs <br /> MKE TfiUC LER aX wool= <br /> h <br /> A�v �S-� LICENSE STATE ODOMETERMUB <br /> 1�02�� <br /> gAg4'IIN13TRUCTIONS <br /> R oe d z— L ON OFF <br /> QTY <br /> SERVICE CAALLLL DEr3Cj�IId1jZ}�jOOMp' Q7Y DESCRlPTIDNOFWORK COMPLETED QTY. DESCRIPTION OF WORK COMPLETED <br /> MOUNT/DISMOUNT(S)ON VEHICLE BRASS VALVE STEh1(S) <br /> FLEET INSPECTION MOUNT/DISMOUNT <br /> DISMOUNT(S)LOOSE ALUMINUM STEM(S) <br /> AIR SERVICE LOOSE MOUNT(S) <br /> VALVE STEM REBUILD(S) <br /> FLAT REPAIR(S) LOOSE DISMOUNT(S) <br /> ALLIGATOR CAP(S) <br /> REPAIR MATERIAL(S) TIRE(S)BALANCED <br /> WHEEL SWITCH(S) METAL,VALVE CAP(S) <br /> RECONDITIONED WHEEL(S) O RINGS) <br /> -737 <br /> T!O FINISH MILES: <br /> ���•� START MILES: <br /> TOTAL MILES: <br /> START TIME: dQ <br /> ON SITE TIME: _AM pM <br /> OUT TIME:?7 AM p <br /> OADAMOUNT 'yfF" �_' FINISHTIME: �Jy pM. <br /> ULEREXEMPTION IF APPLICABLE <br /> ❑GOVERNMENT ❑LEA EXEMPT 0 OTHER <br /> ❑AGRICULTURE 0 COMMON CARRIER/BACK HAUL <br /> PICK UP LO:ap,�E <br /> C3 IMPORT FROM <br /> DELIVERY HOLE TIRE COUNT ❑WEIGHT IN POUNDS <br /> ❑ F�CPORTTp t <br /> Ll VOLUME CUBIC YARDS 0 WEIGHT IN TONS <br /> Or Defpr' !tarttly that under penalty of perjury under itis tewa of the Stela o Cdlfomla that the Information provided above Is true and correct.In sddillan,I <br /> g am we that falsction of this Information may result In U I panalHea up$25,000 r day, <br /> f G $ 0 r"Idolalln.Mporad,," <br /> andescribedInPublicResourcesCo on 42962 y Par vlolatlon or adminlatrative panattke up to <br /> uUSTOMER PRINT NAE CUSTOMER SIGNATURE <br /> -SR No. 169013 DATE t' <br /> 91£ CLOZ-£0-1.0 ES:L£ 60 LSO£-ZVZ-60E-Il <br />