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Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 5381861 -- A Pick Up Delivery <br /> 'D Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> t DATE � P_ 1 I <br /> N �a© ©©�®o®a <br /> WholB Tire Count �Weight in LbB. <br /> m � <br /> T ?ISL � <br /> E1 '0 O S 4 2 � ; 0 1 3 ~ �Volume Cubic Yds.a C 1 Weight in Tong �- t J'' ' I" <br /> a <br /> a 00E02•a <br /> Les Schwab L-61--i <br /> r� a Inlr,Pls <br /> 1-U1-447-4136 INA for 1 CERTIFY THAT U ER PENALTY OF PERJURY OF THE `^I <br /> Whow n—) lAWS OF THE 11DF C1111-1'"-THE [SIT,/1 <br /> NFORWTION PROVIDED ABOVE I•TRUE AND CORRECT J VfJ <br /> Comprehensive • •• Number • ♦ Informationility • 1 <br /> Site Suff ixa <br /> .4796380 " C Hyl Pick Up Ll Delivery 11/1 <br /> M <br /> R H 0 H-H—H <br /> I� <br /> Hauler Tire Program e Facility Telephone Number <br /> ID / Site Suffix <br /> a DATE E� F]2 , 00 <br /> RHE�aoaj <br /> e w Whole Tire Count Weight in Lbs. <br /> y l (i ( _S E' Volume Cubic Yds. ❑Weight in TonsU`a/�I,� rMS�j ,r?:r! <br /> (iJy(,yt:tl�"anti lip <br /> 131 <br /> E Hdu�er Na tya G �` y, <br /> t a <br /> U a <br /> 1l ule�Eole h ny,i�iunll eI ■ Addie„s Same,as Hauler Infaf8 <br /> I CKFMPYTHAT UNDER PENALTY OF PERJURY OF THE <br /> IN/Afar <br /> ��`J 1-� ✓� ?^ ) <br /> LAWS OF THE 6TATE OF CALIFORNIA THAT THE tom;4•\,/` �. } <br /> I <br /> ;holo Tires) <br /> ` <br /> INFORMATION PROVIDED ABOVE 19 TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> C Pick Up Delivery <br /> ILI 4796354 -- 0 <br /> Facility Telephone Number <br /> Hauler Tire Program ID / Site Suffix DATE 126 �' (? <br /> cc aoo-oaoaoao i <br /> w _Whole Tire Count Weight In Lbs. y I <br /> A a t '. c U;;In ;'b C <br /> l ��j�^ l�,�,PcV <br /> Volume Cubic Yds. 11 <br /> Weight in Tons r'iYilsifl�:aYdt" <br /> � c i t,;��t't �+rltarrltijb r, t r '` , <br /> cHauler Naillo <br /> r-� % DE <br /> :,Ps",I1�'n •f.qtr),[U �' / a ■ Address Sama ar,Hauler <br /> EDOOfrlal• <br /> Hi ulel'Telepllol`10 Nul"Iter (N/A for ICERTilY THAT UNDER PENALTY OF PERJURY OF THE <br /> _ LAWS OF THE STATE OF CALIFORNIA THAT THE, ' t. :;-j rS Whole Tires) INFORMAfloN PROVIDED ABOVE 13 TRUE AND VORRECT. "f <br /> C 1 ,r... 1 <br />