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Sep. 29. I�011 3;02PM B ton Ti re No. 8405 P. 1 <br /> Toll Free -866-896-06001 wwwAwmb.Ca vl7iresl <br /> CalifOfAln InlOgrated Waste Management Beard <br /> and Receipts 10002 o,Bot11269,0GrRment0,CA9661a_1259 <br /> CA Com reheneive Tri I.og P � corn rQ onsive Trip Number <br /> IN <br /> 4127897 <br /> 1STAN OR DUPLICATE <br /> orC.mn,an INSTRUCTIONS ON BACK OF PART2 DON DT •la•red eon AdeMbtprapd•Saryaod Iaee e•�.t-ln^acoManae with Yldb l4 Cltln.Qeollon <br /> CA B 709(1N007 r•banaN^TRP top aaq RDQPIph tA••19alt(Q�rnqueal lhPl lb•InlorcngdPO D ov Gad aq lhf•roan W1h d ear <br /> pr GSgMAO 11 IS CA Comp <br /> 11'001'ter <br /> „IfarJ.quaal(a lnRde rout•elosOm Prlhls lnfanTat7ontb•CIWM9 WIII con(ahf lba•Igror!)Of mol lGfm of lha AAdresa and Uln bngn Gumbel ptevVd•4 eniMs tone of tCGe 6 <br /> TM ,xr',. dross <br /> i':r r;w�,; � 't, r,;• fo at ii cuter did ql1 I10 h f e <br /> Truck D))CAI Number Busin <br /> POR � ess Name <br /> I � I.:..I Address '�7�D l�� (,v,15ovt W�I <br /> City, State and Zip <br /> �,`�k In rG j 2,0 5 <br /> license Plate Numb er Slate .�. ocl <br /> II�p`'1I �j I>nI Common <br /> 1=—I �—+ © Carrier 1�,� <br /> uroa It001Snula^Reg a�oo p rnlaGll lG Publi4Rae^was CGCG ardleo�12AB0 paM M�ynrcsGllrom�lvll�ne v �p e ova"true in 620,000 p�Oe��na a �o e�a'M,e �r+e pie etGee p Ie SA.MdP n ru„�� Peday a escl'a M PuMiO(iAac: O°'ortenMl llhd <br /> Cedeeoa,wna2esz �"'" 1-1 I 1 <br /> � ) NIL pr is Sig u Date <br /> Driver'�,t�Ame, rink) <br /> ' r � <br /> ^ � .pl�iive M.. .Pick Up ry` <br /> �.' 412.7897 C � ' <br /> Fac 14Y Telephone plumber <br /> uffix <br /> .� I•iauler Tire Program ID 1 Site S DATE <br /> to IrrIl2--��•f11 Whole,Tfrs Court weight in Lib®: <br /> G� f ;u, ;r 'I, .:. ': UC.11ll%I;ILI'illlla�ll <br /> . 1NeiUfltiftTona. Al�ptli'tlA+l'Ir1':a; <br /> �I } p'`voJumoCublaYde:� <br /> and Girl <br /> o' Hauler Name <br /> or 1_111111 Ox <br /> Address Sallie as Hamlet, InRla <br /> ■ <br /> FlaulerTelephona Plumper rgror Ic nR'� runoEN'pENaL710pr4nJURYocn1E <br /> IAwS OF TRE aTArC Op CALIPDRNIA THAT YN6 J <br /> JJGG Wn019'fimm) rrmrl rRowo �A80VIN Alld Q15RRECT.- <br /> -M <br /> r <br /> FO 0 <br /> r ^ <br /> �19 �I�.!`Ni\•L' L.nHl�n::ri ¢,,a t ,H ff�' L a m 9Jt,is .'y' d �!•! - ;I!'.� 17j�' 1,1.E <br /> fig 1' ,Il FaGIIiY '�lep ttei�llaml�.pC,,,slti;rti:` <br /> Houler Tire Program ID I Site Sufflx f'� <br /> i1 i I V (knur" 5V 1 t "A t4! I ;N H fl N N <br /> ,e `..-• I•.I,t'I.,.�,}l it l���il 7` I1•I (In�i� {'�I' f <br /> lf <br /> itfF ��4aJ�Y:Mn ,: <br /> Millar Name �1'', tt'Q <br /> a r l �.L I:i .I,1f e�jf 'fl.;1.I't'•y. •.I I'Jill '�I •�,1 �:i1r 1(w <br /> I,�I'pi 'V;: a, tulili ;i' tlfll'f�;� f'.�•�`�lte't��.'WdG�ll`r (nia <br /> [] ' <br /> rM_• Wauier T rle�Jli(�4ile��,t'1(1!�ii 'ir l' I,;l fci b ,`+td4ti{l IL' ,Y+'htWVU&3 4481 THE <br /> M~y bU +7 O� - !��'�./'� �yi1at+As�P;ti�9'a+'!.e.dr:CAl>F'crtAln»1tP411t'•.� <br /> k t.�:•'_�' M.Comprehensive Trip Log Number Load Inform'ation Facility The Prograin ID Site Suffix <br /> D ID DED AB NID CORREG. <br /> r� 4i�,.t <br /> 1 ! Fpcilit � ,. .��, 'Number <br /> Hauler Tiro Program ID 1 Site Suffix <br /> " •5 ..)' '. .;fOr,Ps15? ' 1.. _ s ' ' ;.,11,e. ;. 1,,,iTl,l.li;�' , <br /> ar V/ I cc, <br /> '.,� hl0ufar Na)rift: .-�t}�•rft�;r.r��_;��:.,,. ;s•+' � ,., , ^( `} <br /> 1 rP <br /> Iktitilr' 'S'4 S`�Y11t'i�' '}I0161lnlda(5 <br /> Al II PO, lcEknFrrt+rit.�NaKdo>fu�w'ob'nnnNk`.oFmp , <br /> Received Time Oct, 3. 2011 12 34 ° V 2332. y, . <br />