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CL <br /> 5603511 ick Up a Delivery <br /> QHauler Tire Program ID / Site Suffix a a® Facility Telephone Number <br /> r DATE , <br /> . P � ® ooaoa � <br /> Lu Whole Tire Count Weight In Lbs. a <br /> a. <br /> Volume Cubic Yds. Weight in Tons I Name/ASs <br /> E Hauler Name City �rU l✓� C��,,�� r �r <br /> U a � U Staml: . dit <br /> Hauler Telephone Number ■ Address Same as Hauler - <br /> Initials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />