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.. .. - - - - <br /> n <br /> �® Pick U Delivery � 0 E®¢ g ' <br /> 335413.5 l4 p ❑ ® � � In � = <br /> CD <br /> Facility Telephone Number <br /> Hauler Tire Program 1® / Site Suffix . DATE ❑ / ❑� / ❑ no <br /> ❑ ❑09L_9P <br /> ul, Whole Tire Count ❑Weight in Lbs. <br /> O. �¢ Ps�Jg ,r <br /> 10Volume Cubic Yds. ❑Weight in Tons <br /> City,Sta-!' �G ® <br /> DtlGZl�'e� <br /> ❑} o <br /> fie rSess me as Hauler Initials <br /> I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> / r f y� (N/A for LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> e <br /> t !" Whole Tires) INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> v� 7 Pick Up Delivery ® � <br /> „ 354 78 B ❑ a0 <br /> 'a Facility Telephone Number <br /> u <br /> Hauler Tice Program l® / Site Suffix DATE ❑ � O ry <br /> Lu a Whole Tire Count Weight In Lbs. <br /> cc o <br /> Volume Cubic Yds.❑Weight in Tons Nan � y` <br /> City, _ <br /> E0 Hauser Nam` <br /> Stamp l` e*esS Sr2 s.S isa:�er In <br /> -GiSOrN G�a�� r;�.�.r Or I CERTIFY THAT UNDER PENIll-TY OF PERJURY OF THE <br /> Ai(N/ CALJFORNIA THATTHE <br /> � f lJ Whole Tires INFO OF THE STATE ED <br /> ` 141. INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> v' <br /> J. <br />