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i Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suff ix <br /> 5607251 -- A Pick Up eliveryAl <br /> Hauler Tire Program ID / Site Suffix RPEDATE / l J� Facility Telephone Number <br /> . <br /> M w Q Whole Tire Count � Weight In Lbs. <br /> a <br /> o", Ej Volume Cubic Yds. Weight in Tons Nar»e/Ad0res: <br /> E City, State and Lip t G Z <br /> o Hauler Name <br /> Stamp 0— <br /> Hauler Telephone Number ■ � Address Same as Hauler initials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> �G 7� 5' Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log er Load Information Facility Tire Program ID Site Suffix <br /> 0 4 g 3 u 314 A Pick Up Delivery <br /> Facility Telephone Number <br /> Hauler Tire Program ID / Site Suffix DATE <br /> y aao - o ® ® aoao <br /> c w Whole Tire Count Weight In Lbs. <br /> to a <br /> cility s <br /> O D U G U I El Volume Cubic Yds. El Weight in Tons Name/ � S C�u` �✓h f�` <br /> E <br /> city, St Zil <br /> G Hauler Name <br /> G a OUEEE-OE ',tame nr-� Address Same as Hauler �ij <br /> ',auler Telephone Number <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> /' ( hole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> 7� 7 �7 J Sr 7 yG INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />