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WILSON LSON WAY TjfM HCl., ING. FLEET SERVICE RECORD <br /> 1LOD. U.S. VREsate — . ' TPDia OM. 120779 <br /> dor xnwon►r ry <br /> rr o lYhon Way TIN dt@o P +10c 0--�1t Tiro Roy Oman Way Y11m 841 uS Tim sw9i !33 us Thy fides d'A1 LISYFw woe <br /> x2i rr,W0000 Way <br /> 18*5 A w%vt St- w r k W9406 way 2Ilad W,j:tsysnth$t 2wYoeernhb�vd 1916(44116"Am G 30 d rwnk i,d <br /> $}py*dp,Ea.032" Stackt014 Cz OdW5 Slcakty&Q-95205 Tracy,Co.95.776 Madams,GA-95954 HayMra6 Ga.00-0 SAOfMi1?9nt9r fit. d. <br /> $t}�(65420i <br /> .409dOQJE07' m�.aes.asBd ^..tr.;,3]6,r002' ST1S6ii <br /> 51014071 YAW 9i8J98-9ZId <br /> OUSTOMER P.U-# DAT ` <br /> C� <br /> PHONE VEHICL H <br /> LICENSE# <br /> LOCATION OF SERVICE STATE ZIP CODE <br /> p� <br /> DECAL�i ;t C:1I <br /> CUSTOMER 7RI�na1 di r u I urrdeoES tf G `at Cadiomfe that lha inlormotian Provided ahavr IQ true end correct,In addition,I Fm <br /> dr sec tion p^yfloaanitiC�f <br /> I !..... <br /> 1—J <br /> lion Of <br /> ct;nlfy that under v h W I tY <br /> thla int9rmalion MOV MOU11 In 5uapenalan,rBvacotiaq or dWnlat rat rsnswel of ttW Waste Tiro 5,ccG Reg.malar,par <br /> topublIC <br /> ascribed <br /> Aasoura90 Co d may <br /> tsrktlt jr,civil penfllilaS up Ta 525,000 per Clay,per vlatatlOn dr fidminlatrwive penaitica up IG$SA06 per woletlon par day at geacribed in Public Rrsourcry5 1.'Atle section 4EB62. <br /> DRIVER NAME x IV ATl3RE DATE ^} 6 <br /> MAKE TRUCKrMAILER# LICENSE STATE 0D4MFTEP/HUB <br /> , . , ' sp�ci I�vsraLlcTlol�s ' <br /> ' ON 6FP <br /> {1T.Y-. ." DESGAfAFlON OE'WC7Ft ^�.._p7&'�C1,,.�.—QTY,--OESCA!AFIOft 0..., --.,,...,„.„.._,...._�.-. <br /> t7TY. tJE3CFilPT70N OF WORK COMKE?'ED F WQF?K COMFLgrE0 <br /> ERVICE CA OU D1)ISI, UNT(S)ON VkHI BRASS VALVE STEM(S) <br /> FLEET INSPECTION 11'<QUNT i DISM UNT(S)LOOSE ALUMINUM STEM(S) <br /> AIR SERVICE LOOSE MOUNQ$) VALVE STEM PEBUILD($) <br /> FLAT REPAIR(S) <br /> L008E d1SMOVNT(4j) ALLIGATOR OAP(S) <br /> REPAIR mATERIAL(S) TIRE(S)RALANCED METAL VALVE CAP(S) <br /> HEEL S (S} 1 + LA' RECONDITION D WI1EEL(S) O RING(S) <br /> SIZE <br /> MFtf DFSCAIFFfON FINISH MILE&, <br /> O Y. <br /> y� START MILES- <br /> TOTAL WILE$; <br /> 1 ST&R7 TIME: <br /> ON SITE T1mE — AM PM <br /> I <br /> OUT TIME AM PM <br /> FINISH TIME �' AM M <br /> LOAD AMOUNT KAUL EXEMPTION F A;1CWCASL5 <br /> p GOVERNMENT 0 LEA EXEMPT ❑ OTMEA <br /> — — ' [] AGR1CUI TURE 0 COMMON OARRIE"ACK HAUL <br /> C) PECK IJP LOAD TYPE. <br /> Q IMPC7RT FROn1 G WHOLE TIRE COUNT p WE) HT Its POUNDS <br /> ❑ DELIVERS' [) VOLUME CUBIC YARDS ❑VVE1UHT IN TONS <br /> p ExFOaT To <br /> rnla that he Infafmatfon provided above is true and <br /> I cortity that under ponrlty of t�7ury under the Iowa of the State of Calltocorrect.In 9dditlon, <br /> c nate em avrrre that istavia3tio t this Intormat,"D mayy rouult in civil arnalGec up m 826,90 psy dry,per Yiplution Pr.4miristYativsl penaltid5 up to <br /> a s5, per vtatrdOn^^p ry to ae5ormed I ilc Raaourtses ode aeedon 4 <br /> f' <br /> DU OMER PR <br /> f U87C►MER DATE <br /> FSR No 1,20P+_- . l �1.e150�-Zti� 61aZ Q 3`dI� 1.�'M NOSIIM W�Qi 6 800 '9l M <br /> 6TIt10 139VJ Nrl>C:10ls ?ASPS LTOOZE66OZ Zb:C3T 60 Z/9T/S0 <br />