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Comprehensive Tr • Log Number Load Information Facility Tire Program <br /> Q 5 2 3 7 6 3 2 -- A Pick Up Delivery <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> DATE a s a® o a � .� � . <br /> Lu Whole Tire Count eight W a a a a <br /> CLIn Lbs. <br /> z >- <br /> 11010121611151 1011 ~ Volume Cubic Yds. Weight in Tons <br /> a� <br /> o iau►c�Nlmo <br /> Wingfoot COMMI. Tire E2, <br /> (530) 241 -0262 aEDE1 -+ .4ddr¢ss same as Hstik. rD;Na,s <br /> (N;A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> IHrr)rwAT3ON MVIDED A130VC is TRUE AND CORRECT. <br />