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WILSON WAY TIRE G(J., INC;. 1 k`�—0 FLEET 89RVICE RECORD <br /> (Ae-3) U.S. rJ E SAL 7PID 1400837• 109634 <br /> 101 IYlieea WwY fire Wa..+Way Tiro twcon ova om lew wo VI"TIM Ori us 71re Safes rat as Tim saga #0 us Tim sags <br /> Pit iV.NOkon Way 15.75 Herter g=, s8 lk9kar tltbY 19.9 W fir m m Sr. R6vv►�ofemlfe Bl.d 141311IateaM)Aa,a. $ R�ard¢lira Alvd. <br /> itedtYa*CA-t stodrio�G� 952P5 btaerrm,,Ge 9irxoa rrdcY.ce.95x70 1Ner6#m CA.WZ" fi +W-4"0." Sac anWttto,aA&oS28 <br /> EOL4-06S-0.4�1 7f7Y-94+�71G�T + -091B9r4fFG7S»•S�f9 YYn..,1�9,6/4Sd0 <br /> CUS"fDMER f r PO # QATE� <br /> PHONE 'V—EHICLE# <br /> LICENSE#Q, <br /> LOC ATIdN OF SERVICE STATE ZIP CODE <br /> �_ _ .,..._.. DECAL# R <br /> CUSTOMER TPID f 4 `,� F1j I _! <br /> I certify that under penalty of ptriury unser 1118%ewe of the 818te of California chat the information provided above is%rata and corroot In addiuon,18m aware that falsf6roli"01 <br /> Infa Intormadon may result in sueponalor+,ravacatlan,4r denlal or ranewal of the,Woete Tin Hauler Fiegiatnition pursuant to Public Rewul-Qcs Godo&"tion 4p060 and may <br /> r89Ult in civil prul9ldsE up W$36,000 PLe dey,per violation at admtnletrativa peps ales up 14$5.000 per v'iolefion per day es deserib8d in Publio Ryseurccs Cody section 4062, <br /> DRIVER NAME DIVER SIGNATURE DATE <br /> MAKE <br /> TRUCKMIKILEY#i} LICENSE STATE �adPA 1 7�PoL <br /> iU6 <br /> SPECIAL IN TALIC'TIONS'� ON FV <br /> F OTY. 3EscQiP 10N.3F woo COmPLE7-150 QTY. ?ESCA1p7lQN'DF WORK COMPLETED QYY, DESCIafPTbON c) WORK COMPLETED <br /> SRV ALL T/ NT(S)ON VE [� 6t1ASS VALVE STEM($) <br /> FLEET INSPECTION MOUNT)MSMOUNT(S)LOOSE ALUMINUM 5TEM(S) <br /> AIR SERVICE LOOSE MOUNY(S) VALVE STENO REBUILDS) <br /> FLAT REPA(RS) LOOSE DISMOUNT(S) <br /> ALLIGATOR CAPS) <br /> REPAIR MATERIALS) TIRES)BALANCED RARTAL VALVE CAP(S) <br /> WHEEL SWITCH(S) RECONDITIONED WHEEL(S) O RING(5) <br /> Si <br /> ��, DE$ AlPTIbN FINISH MIL <br /> PTY; <br /> f� START MILES: <br /> v TOTAL MILES <br /> Zc <br /> START'rIME: Ahf <br /> ON SITE TIME; AM ora <br /> OUT TIME! AM PM <br /> FINISH TIME' Arnim <br /> LOAD AMOUNT HAULER EXEMPTION IF APPLICABLE <br /> f ©OOVERNMENT ❑LEA EXEMPT ❑OTHER <br /> ---t ��— ©AGRICULTURE ❑COMMON CARRIERIBACK HAUL <br /> .e-�CK UPLOAD TYPE <br /> O IMPORT FROM f-f� ~ t CJS TIRECOUNTC7 WE IN POUNDS <br /> © bELIV RY ❑ VOLUME CUBIC YARDS ❑WEIGHT IN TONS <br /> RT TO � <br /> 1 cantly,1I under penalty of pariury undid?IAt I&Wa of the StatC of California thin the information provided above is true and corr80t-In addltlon,1 <br /> am awerC 11hot raluilicelion at this InlotM0tl0n may result In clull perwltiea up to 625,000 pot day,vmr violation or administrative pvnElllee Up to <br /> $S,g00 per Vltliailon pot%IAV os dotivribed in Public Ra6ourcas Cade section 42efi2- <br /> � <br /> CUSTOMER PRINT NAME oUSTOMER SIGNATURE DATE <br /> FSR No.7� , 9 f9bC9A'°Ml'"H-Z 6U '00 AIL AVM NOSI IPA M0:6 B44Z 9l �py'd <br /> 61/E0 39Vd NOD1301S aSA LTGOZIC6613Z ZV:BT BG�i�Z,19TI�Cl — <br />