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5607312 -- A [? <br /> Pick Up ❑ Delivery <br /> ¢ Facility Telephone Number <br /> Hauler Tire Program ID / Site Suffix DATE G <br /> / E <br /> Lu hole Tire Count E] Weight In Lbs. <br /> Qao � ooa0000 <br /> e O U U U 1 Volume Cubic Yds. Weight in Tons 1y am,6i,j4z' .-- <br /> E hauler Name6112 <br /> 4:it �t �trl <br /> U Q <br /> Hauler Telephone NulTh('i DEE ■EE Address Same as Hauler Initials -- <br /> 7 t I) /) (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> 7 U 7 S Y l v �v Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />