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a 0 4. —_ B `y Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Stiff ix <br /> Pick.Up Delivery10-H �i <br /> v Facility,TTeleplione Number <br /> m Hauler Tire Program ID / Site Suffix �- <br /> Compr�',' <br /> DATE <br /> t � tin Lbs. t P1.56 <br /> . � U POP <br /> a <br /> p w Irl Whote Tire Count E]Weigh <br /> (j� C J ! Volume Cubic Yds. Weight In Tons t���lti itt .81? <br /> E III r. , ,t r . <br /> El <br /> o -ti'r�iFar� Ill. n r <br /> I akl ! OIO�kI 1111��� 'I'tUlYL�01' ■ Add,ress Saa16 as Hauler ' !lflals <br /> r�/li t •�L }P l (N/A far I CERTIFY THAT UNDER PENALTY PTHAT THE THE r. <br /> /yYj' v['v/J,� � Whole TlreO) uW50F THE STATE OF CALIFORNIANTHAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT ' <br /> Program <br /> Comprehensive Tri• • Load <br /> a 4596067 -- A Pick Up ❑ Delivery fl = . ?. : <br /> v M111' 'OH Facility Telephone Number <br /> Hauler Tire Program ID / Site SuffixDATE <br /> C w i` Whole Tire Count Weight In Lbs. <br /> m n �J-t• Y-11, <br /> Volume Cubic Yds, a Weight In Tons �I -1", <br /> i'._,:►1t<"� <br /> o Hauler flan I- <br /> F. <br /> lliauler-Telephono tVuit�klo�r <br /> EED�U■UH /address an1� is f{ iilel ! r <br /> ',r ' r•LLL..,,, (N/A for I CERTIFY HE TAT ER PENALTY NI PERJURY <br /> Whole Tk-) LAWS OF THE STATE E CALIFORNIA TRUE <br /> AND <br /> C _ <br /> INFORMATION PROVIDED ABOVE 19 TRUE AND CORRECT. } <br />