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• WILSON WAY TIRE CO., INC, FLEET SERVICE RECORD qj2� i <br /> U.S. TIRE, .ES <br /> (t <br /> #01 wlson Waynra ,,t TPID 1000837. 16 9 014 <br /> Wilson Way 77ra Recap #02 Connell Tins <br /> 221 N.Wilson Way 1535 MISt #21 US Tyre Sales #23 US Tyro Sales <br /> Stockton,CA 95203 Stockton,CA 95205 2211 N•Wilson Way 2900 Yosamlfa Blvd. #24 US Tire Sales <br /> 209-463.0281 Stockton,CA 95205 Modesto,CA 95354 1915NatlonalAve. 6530 Franklin Blvd. <br /> 209-465.3262 209.468 2581 Hayward,CA 94545 Sacramento,CA 95823 <br /> GU/SXMER 209-571-5611 510-887-1282 Sacramento, <br /> V�n'3�iG`Ccr -2245 <br /> P.O.M DATE <br /> PHONE VE)HICIE# <br /> LICENSE# <br /> LOCATION OF S VICE ��U <br /> Ci(.(h p 5 ATE ZIP CODE <br /> CUSTOMER TPiD I /� "- a <br /> �1 �-)l-��_LL d -fal-11—b -. I DECAL# <br /> I certify that under penalty of perjury under the lawn of the State of California that the In(ormatlOn provided above la true and correct i Zaddition,3! I�e�aware that ll <br /> lhla tt IIn cMtlon may result In auapanelon,revocatlon,or denial Of renewal of the Won Information <br /> Tiro Hauler provided <br /> above <br /> pursuant to Public Resources Code section 4atx0 and may <br /> result In E penalllaa up to 528,000 per day,Per violation of adminlatnUve penelllee up to$5,000 per violation per day an described In Public Resources Code,,titan 42882.f <br /> �RIVER.HAME <br /> DRIVER NATURE <br /> Da ,r- e X Q . DATE 3 <br /> r. . ` <br /> ,y-:7 '•• :. UC RAILER#� LICENSE <br /> ODOMETER/HUBAlt <br /> l7 e> STATE <br /> ••K -RV TIONS <br /> � ON OFF <br /> b QTY bESCROTION OF WORK COMPLETED <br /> SERVICE CALL J CN DESCR' pF.WORKC41?PLETEO <br /> / MOUNT I DISMOUNT(S)ON VEHICLE J BRASS VALVE STEMS) <br /> FLEET INSPECTION MOUNT/DISMOUNTS LOOSE <br /> DISMOUNT(S) ALUMINUM STEM(S) <br /> AIR SERVICE LOOSE MOUNT(S) <br /> FLATREPAIR(S) VALVE STEM REBUILD(S) <br /> REPAIR MATERIAL(S) LOOSE DISMOUNT(S) ALLIGATOR CAP(S) <br /> TIRE(S)BALANCED METAL VALVE'CAP(S) <br /> WHEEL SWITOH(S) RECONDITIONED WHEEL(S) 0 RING(S) <br /> 07,V711;7 7 <br /> J . a lPl1DN FINISH MILES: <br /> `i• � �� START MILES: <br /> TOTAL MILES: <br /> START TIME: AM Phi <br /> ON SITE TIME: _AAA Ph1 <br /> OUT TIME: AM PM <br /> .OAS AMOUNT. HAULFINISH TIME: hit PM <br /> ER EXEMPTION IF APPLICABLE <br /> _ ��(� ❑GOVERNMENT 0 LEA EXEMPT ❑OTHER <br /> ❑AGRICULTURE ❑COMMON CARRIER/BACK HAUL <br /> PICK UP <br /> ❑ IMPORT FROM L0 TYPE <br /> W//ELIVERY WHOLE TIRE COUNT <br /> ❑ EXPORT TO (3 WEIGHT IN POUNDS <br /> ❑VOLUME CUBIC YARDS ❑WEIGHT IN TONS I <br /> ,opo Dotp�^ 1 certify that under penalty olperiury under the taws o1 the State of California that the information provided above is true and carroet.In addition,I <br /> 4TM <br /> that falalqullon of lhla Information may result!n civil Pe flea up$75,000 per day.Per violation or administrative penalties up to <br /> f vlolatfonpardayandescrtgadinPublIeResource Codese n 2882.t! J RINT�NAEd <br /> =SR No. 169014 CUB R SIGNATu DATE <br /> 91V VLOZ-EO-LO EL ZE:GO LSOE-ZVZ-GOZ-L <br />