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5607273 -- Bick Up Delivery <br /> n <br /> Hauler Tire Program ID / Site Suffix DATE I ()I® / ®� j © � Facility Telephone Number <br /> LLL���III } a- � oaa000 <br /> o wa Whole Tire Count � Weight in Lbs. <br /> 00 <br /> � } --- _ :lily U.", /---- `� <br /> C O G 1 i Volume Cubic Yds. Weight in Tons Name/Adds <br /> E <br /> Hauler Name City, Sta ) o i c/`J� t <br /> ` � L✓ <br /> U / Stairl= -�/3a21mm ® I i GJ4 <br /> ■ Address S m as auler ls <br /> Hauler Telephone Number J� Initial' <br /> •�7G ��� v/�J �L�l� (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE + <br /> �i/ Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE � <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> A <br />