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Q 3 6 8 0 715 -- /4 Pick u <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID <br /> � p ❑ Delivery � Z <br /> °1 Hauler Tire Program ID / Site Suffix � ❑ <br /> Site SuffixIn <br /> DATE I G I d ,� � � � �, �� Facility Telephone Number <br /> c LI ❑❑ <br /> � ow. ❑Whole Tire Count Weight in Lbs. ❑❑❑ <br /> g � Z I � I � �Volume Cubic Yds.❑Weight in Tons � L.o, � <br /> �- <br /> P-iauler <br /> ��S_��b� (N/q for f OERTIFY THAI UNDER PENALTY OF PERJURY OF THE /nitialS <br /> __ ___ Whole TIrDSi LAWS OF THE STATE OF CALIFORNIA TNAT THE ;�M <br /> —_ INFORMATON PROVIDED ABOVE IS TRUE qN0 CORRECT. <br />