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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 3620100 -- A RP1ck Up ❑ Delivery j �� ❑ �I c� —� <br /> Hauler Tire Program / Facility Telephone Number <br /> acO ID Site SuffixH H Ht <br /> M a El Whole Tire Count ❑Weight in Lbs. <br /> ((�aailE { �s si/r'ass <br /> 110101216 4 2 1011 <br /> ❑ Volume Cubic Yds.❑Weight in Tons I wiirlre k(12;i;4 Y ��"�' �� � <br /> E C�VWc 4 r <br /> 0 Hauler Name <br /> U) <br /> L) Les Schwab �� v -: e� <br /> a ❑ Address Same as H- .Yler <br /> hauler Telephone Number ■ m;r ' <br /> Eb <br /> I CERTIFY THAT UNDER PENALTY OF PERJURY F THE <br /> 1 -541 -447-413 6 wh ie T°es) r7 <br /> LAWS OF THE STATE OF CALIFORNIA THAT THE 7' <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> O. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> Q <br /> 3620128 -- B Pick Up Delivery HE H— <br /> U <br /> Facility Telephone Number <br /> 41 Hauler Tire Program ID / Site Suffix <br /> � DATE / / �❑� <br /> e w Whole Tire Count ❑Weight m Lbs. <br /> m IL <br /> } t a(vellty B,:15 -, <br /> 1 0 0 2 6 4 2 0 1 ~ ❑ Volume Cubic Yds.❑Weight in Tons Name/Addre j <br /> E Citi+,Mara ar�dila7> Gwr'd <br /> o Hauler Name j3 <br /> Les Schwab Staimp or L a€G1 OK 6- �ll G`(` <br /> I ■ � ❑ Address Same as Hauler Initials <br /> Hauler Telephone Number <br /> (N/A for i CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> 4136' (�, Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> 1 - 541 - 447- INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 3620101 -- A —7Pick Up ❑ Delivery <br /> lu Hauler Tire Program ID / Site Suffix es��, ,� Facility Telephone Number <br /> � DATE <br /> oar-�-®oo � oo <br /> C Wr�Whole Tire Count Weight In Lbs. 1 _ <br /> , - <br /> 10-=® 2t 0 1 1:1 Volume Cubic Yds.❑Weight in Tons <br /> Haulet Iva;;. j�g=1.� �E �► <br /> Schwab <br /> H a u I a r T-®ry]11 r►a Ns.€mber a DE ON Ec) r 11 ❑ Address Sarne as Hauler Initials <br /> S- V�^` - l CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> 54 447'4136Wha e foes) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />