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Mar 30 01 11:13p p.3 <br /> PUG-31-2015 14:19 From: 12094654023 T20%B73574 <br /> Page:3 4 <br /> W11-SAWAYTIRE.CO., INC. FLEET SERVICE-RECORD <br /> T/RE5ALE5TPIO 1p0a837. 17 4 6 45 <br /> on IItw A'@ K son m y Tore RacapNDx lamnen 1710 aaf us 77n 6vra,PPM <br /> 0fGr Atw'C g, 79 if N.WA9a►I "J U49 Yzm Sa/ne 021 VS TireSolos <br /> ,WJ410S SlOcMn,CA85$p§ .Sb 2100YaaamilaHlver 1DlSNeuan{lAvHr. 6590FrankllnBlvd <br /> 1ar - Io9.eos 7107 aton �:n Y52a5 �otfets�q CA B59S? s Drwmd=CA 04515 almmente,CA 9562? <br /> 20P-00&2681 708371.58 f <br /> Cu NER _ _ A pr�asz•u� <br /> P,D.II DATE' <br /> PHONE VEHICLE 0 <br /> LICENSE SE <br /> LOCATION OF SERVICE <br /> STATE •. ZIP CODE <br /> CUSTOMER TPID <br /> -• l �f DECAL# ��— <br /> I oertlly Natal ander penattyv of lawJury under 1h a lam M the SIAM of Celifnmte that the InFvmetlon LLL11L��� <br /> 1111{1MormeUon may Ieautt ln'evapanafen,revoeatlan W�n1nl of ranawal a♦Lha Waste Tire Hoular pelQU p Plurwrtai�io public ud�oeaa'Ced. u n<2960 said nlsy <br /> result In dr13 panallka up t "Tb•D00 per d Iflcauon of <br /> P ay,P6r viotallan al ednn;nlslrryN n Iren,hlaa up1435Os0 pe►v161e11ep pv dayee described In Public Reaoumea Caaa eeallan42gai <br /> �R1VER DRIVER 511011 <br /> X DATE <br /> MAKE U TFiUCKrfRAtLHR p , <br /> LICENSE STATE OD' us <br /> :'��'!��"IY�':�TA�!`�?�:="SP�L1]�11�gh',RL«TI�7k�$ T"L` '��. -? � 1'`.i.1i'y:.- •<c:-' ,- _ <br /> 3.<, ,;t7N"={•:, :,-, :LOPE <br /> ":Q• f P'?,+I)E3LiRIF?1TOMOFb1JOl�GQOIIEf?1El'tZ7' :;QTy' DEtSCRfP770N0F'WORfCl7 pY Fp," f �� ^• <br /> SERVICE CALL Q.f)!< ;'-cOE�Cft(pTjtSACOFi4bAKCOA/p/E7ED <br /> MOUNT/DISMOUNTS)ON VEHICLE BRASS VALVE STEWS) <br /> FLEET INSPECTION MOUNT/DISMOUNTS)LOOSE ALUMINUM STEMS) <br /> AIR SERVICE LOOSE MOUNT(5) <br /> VALVE STEM REBUILDS) <br /> FLAT REPAIR(S) LOOSE DISMOUNTS) ALLIGATOR CAP(S) <br /> REPAIR MATERIALS) TIRES)gAlANGEO <br /> WHEEL SWITCH(S) METAL VALVE CAP(S) <br /> RECONDITIONED WHEEL(S) 0 RInIG(S) <br /> OTY. S <br /> DE6CAIPTICN '�- --v.. - 'v FINISH M&E3• <br /> " START MILER: <br /> TOTAL MILES: <br /> r ; _ <br /> r AMS <br /> t ON SITE TIME <br /> AM PM <br /> • OUT TIME Nd <br /> START TIM EPM <br /> LOADA161OUN7 r...:., ,•.,, FINISHT1ME:d145joAMrFM <br /> HAULER_ (E PT1t�JlIbl4BLE <br /> __ _ 1 ❑GOVERNMENT I p LEA EXEMPT IJ' OTHER <br /> AGRICULTURE COMMON CARRIER18AC <br /> PICKUP � K HAUL <br /> ❑IMPORT FROM ` <br /> �. AQY�)rri'a`>io�• r _' ,z sry <br /> DELIVERY WHOLE TIRE„COUNT L3 WEIGHT IN POUNDS' <br /> a COURTTO <br /> VOLUME CUBIC YARDS U WEIGHT IN TONS <br /> I canny INCH undwp0"vW*f Wuryv une a leve of the 8lata el CalHamia thal the I ahvmenen provided adpv b ane and correct.in edaRlCn,! <br /> Cm tl <br /> Cnae ut h(aylrslon at INInbrm an my result[g)drl pend <br /> K000pervlab0an porday as des trlbealn DublIc Rsaoava®Cole 8ea up{2L{a'J wdlanHas e2. Per ea*Per v1sletlCn or BeminIzareov pnnellCe up IC <br /> CUSTOMER PRINT NAMfi CUflTOMER t3lGMATUAt: <br /> Z!Z DATE <br /> �sioz-�E-80 >.I�vs sl <br /> 150E-�br'-60t-i <br /> Received Time_Aug, 31. 2015 3: 56PM No. 1354 <br />