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Comprehensive THp site suffix <br /> Log Number Load Information Facility Tire Programs <br /> BLl <br /> Pick Up ,'Delivery / l_Ll [fl0 a-2 <br /> Hauler Tire Program ID / Site Suffix DATE LIF71 <br /> EE Facility TP�phone NumberIn <br /> LJ -r n c �, N <br /> �7 I a nL FA trt- I2t_� � M� <br /> a Whole Jle Tire Count � W_Ight bs <br /> -- Volume Cubic Yds. Weight in Tons ��`%I jj n e <br /> H1La1L__1JE_ I In'ials <br /> IN'A I- I�:FN'UFv iHnl JNbFP nENALTY OF PERJUR` OF THE ��`. <br /> �.�,���T, ;�. Vf`NS OF TH[STATE OF CALIFORNIA-HAT TME <br /> INFORMATIOW PROVIDED ABOVE IS TRUF.AND CORRECT. <br /> r Q 5 3 <br /> 79168 -- A Pick Up Delivery f — <br /> n I <br /> N Hauler Tire Program ID / Site Suffix Facility Telephone NumberDATE � (J� j � 1�!_� �� <br /> ru a- Nhole Tire Count El <br /> Weight In Lbs / <br /> Volume Cubic Yds. Weight in Tons <br /> a <br /> 8 4T Indlals <br /> INIIA j0; I CERTIFY THAT UNDER PENH OF PERJURY 0='HE <br /> 'rN^.0 e Tire S' LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information • • Suffix <br /> a <br /> 3726845 .. C Pick Up Delivery <br /> 1 Hauler Tire Program ID / Site Suffix r Facility Telephone Number <br /> DATE OE <br /> � h t'(�•�—(JI�1 �� �� <br /> - m wWhole Tire Count Weight in Lbs. <br /> d b S. �9 (�� ~ Volume Cubic Yds.F]Weight in Tons' <br /> - 0 1 �3 Ti�r� �e <br /> Rom <br /> 09 Q D0 o <br /> a <br /> 0 0� o� p� I <br /> 7 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> HER <br /> Whole Tires) <br /> Ifor LAWS OF THE STATE OF CAUFORNIA THAT THE <br /> L-' <br /> ---- ------ - INFORMATION PROVIDED ABOVE IS TRUE AND COP.RECT. <br />