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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 5636287 A Pick Up ❑ Delivery a �- <br /> Hauler Tire Program ID / Site Suffix as Facility Telephone Number <br /> DATE O <br /> N o ® o� ooaoaoa <br /> � a � Whole Tire Count � Weight in Lbs. <br /> ,���❑"" <br /> Volume Cubic Yds. Weight in Tons _ I F'7 L-ED <br /> C,� <br /> Hauler Telephone Number ■ �_ t}dress Same as Hatiler rDrr;;s �- <br /> ��w �� —���� <br /> (N/A it I CERTIFY THAT UNDER PENALTY PERJURY OF THE <br /> `V{ Wh010 Tire') LAWS OF THE STATE OF CALIFORNIANITHAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />