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Comprehensive Trip Log Numbjw Load Information R, Ay Tire Program ID Site Suffix <br /> 4796557 -- B ®Pick Up ❑ Delivery <br /> U <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> � DATE <br /> wW o e h I LTire Count Weight ht in Lbs. <br /> a e g <br /> a3 Volume Cubic Yds. Weight in Tons v <br /> E c� �5 <br /> p Hauler Name <br /> a <br /> Hauler Telephone Number UEEEHM P�jHAddress Same as Hauler gars <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 /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 4796510 -- B Pick Up Delivery(U <br /> Hauler Tire Program ID / Site Suffix DATE as / ©� Facility Telephone Number <br /> Whole Tire Count �Weight in Lbs. <br /> i� CAI� <br /> / a ( a <br /> ar <br /> Volume Cubic Yds. ElWeight in Tons I a I `\cc: `J <br /> G Fin i.,?! p4�anle moi s <br /> EEE-PM LaH ! �lepha umber Address Sane as Haule ;,,;gars -- <br /> �.3~� / ' ( for I CERTIFYT UNDER PENALTY PERJURY OF THE <br /> W <br /> / , holeole Tires) LAWS OF THEE STATE OF CALIFORNIAI THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />