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Comprehensive Trip <br /> Log Number Load Information _ <br /> Program ID Site Suff ix <br /> 5636242 ---A pick Up Delivery © �; 0 ® 0 0 - <br /> gao - oo . P <br /> 7 <br /> Iv Hauler Tire Program ID / Site Suffix ©� Facility Telephone Number <br /> M DATE <br /> a ole Tire Count Weight in Lbs. <br /> 000 � ao � oo � o <br /> CL) 1 101 21611 151 � 10 1 Volume Cubic Yds. Weight in Tons V ip � <br /> C <br /> o (ter Via; LLT t�ka P C A cl533 0 <br /> 1ingloa� Comml. Tire <br /> E E E E Initials <br /> � ■ i I /�F�rlff`SS �2!Tz?nS ��12.iJ�L"'.0 <br /> (53►J) 1'=0262 <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OFTHE <br /> Whole Tres( LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE 15 TRUE AND CORRECT, <br />