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Comprehensive Trip Log Num Load Information FWy Tire Program ID Site Suffix <br /> 4796592 -- C Pick Up Delivery O O Q 0 0 -010 <br /> ar <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> DATE , <br /> w OU <br /> m <br /> a [3Whole Tire Count El Weight in Lbs. <br /> y 0 61 1 Weight in Tons U i tie�iv 1ZI � f <br /> /-4,54"4/v EHauler Name M$t�tEandrr <br /> 14, 9 i <br /> r 4 S 3 S6' <br /> Hauler Telephone Numher Q ■ A/ Address Same as Hauler initials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> t INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program <br /> 4796536 -- A Pick Up Delivery <br /> Hauler Tire Program ID / Site Suffix DATE ©� / n� / Facility Telephone Number <br /> y QHR — E00d 010H <br /> w <br /> � a Whole Tire Count � Weight in Lbs. <br /> A <br /> 6IM1,363 l 11 Volume Cubic Yds. Weight in Tons r `✓L I �` `�('� w((���4 <br /> M Hauler Na e 'aUv <1�4rw/"I� <br /> o,S 33 lf/ <br /> er T pha>le mber EE ■ Address Same as Haule, <br /> - initials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole TITeS) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> L—j—" INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT <br />