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Num <br /> Comprehensive Trip Log p • •.• • • Program <br /> I V1 <br /> 4796366 B Pick Up ❑ Delivery ©— <br /> Hauler Tire Program ID / Site Suffix DATE Facility Telephone Number <br /> y PH <br /> N <br /> w <br /> a Whole Tire Count 11 Weight in Lbs. <br /> ( Volume Cubic Yds. 11 Weight in Tons l .T re <br /> E Hauler NameL fytl trdkG /J <br /> Stz,ntp or Label OK <br /> U �V <br /> Ha ler Telephony Num!,,N- ■ Address Same as Hauler Initials <br /> F- Z C /57^ <br /> (N/A forLCERTIFY THAT UNDER PENALTY OF PTHAT THE OF THE <br /> l/��/Y//�1I -/✓1 ` / Whole Tires) SAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> 1 <br />