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• <br /> Comprehensive Trip LogNumber Load Information Facility Tire Program ID Site Suffix <br /> Pick o �.Up Deliverya a a ,f Ifl—LI>W I <br /> (9(3 5 7 2' B <br /> oa� o oFacility Telephone Number <br /> a) Hauler Tire Program ID Site Suffix <br /> • <br /> DATE <br /> ..y <br /> LuE] <br /> [],Whole Tire Count Weight in Lbs. <br /> F� Volume Cubic Yds.❑Weight in Tons 1 On ve <br /> F 7.'.1 <br /> cc -f-laular Name <br /> oul [,Alt A-1v <br /> Hauler Telephone Nuiribev Address Sarna is Hauler <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURYOFTHE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> iNP-ORMATIM PR0VMfiD ABOVE 13 TRUE AND CORRECT. <br /> Delivery 0 0 o a —00 <br /> 48627 B. i <br /> Hauler Tire Program iD I Site Suffix Facility Telephone Number <br /> We.ightInIbs", <br /> i . <br /> 94 <br /> � � a a � � <br /> .Wei inTori 1461b 4WO�ss <br /> 101 d D-1-�l (A A j('1 I (')ir;-Stjt6 aq <br /> Hauler Name <br /> Add flints Ir <br /> ou er' <br /> Address Same H I <br /> Hauler Tolephone Numbei <br /> 'T to <br /> Tires LAW OFTMECALIFORNIA THAT THE <br /> I Cli THAT UNDER PENALTY CIFOUIUM OF 71 <br /> W DID <br /> 'Tires ABOVE 19 TRUE AND CORRECT. 1 <br /> Facility Telephone Number 1 <br /> Hauler Tire Program ID Site,SgIfffix <br /> E 1 <br /> oaEaao <br /> Vw j[]',whole TireQount —IWelght in,Lb,s <br /> Y01LIMe CublcrY WBight,In <br /> 'Hauler Name <br /> Telephone Same as Hauler in I <br /> Hauler Telephoe Number <br /> fj- �' rs <br /> 77� I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> �NA.fdr <br /> uWe of THE STATE OP CALIFORNIATHAT THE <br /> ..PROVIDE. OV 1 TRUE AND 1011 <br />