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3 8 2 8 8 7 4 �- j(D ), <br /> RPick Up Delivery 1 —© <br /> DATE <br /> Facility Telephone Number <br /> Hauler Tire Program ID / Sn' �( <br /> C W Whole Tire Count Weight in Lbs. <br /> 0 1 � Volume Cubic Yds.❑Weight In Tons€ , <r B HBc l}e�N3 B �arnt. e Address Same as H aider(N/A for THAT UNDEO CALW Y OF THAT TY E TT¢ <br /> L ��Tim) LAws aF THE <br /> STATE of CAUFORNu THAT THE <br /> WFORlIATN'k1 FRONDED ABOVE M TRUE AND CORRECT. <br /> Trailer Placemeni P LTotal <br /> ck $ <br /> I S� $ <br /> Trailer Switch $ S ge $ S <br /> 1 $ <br /> Trailer Removal $ 5C7` ived $ <br /> I Total Due <br /> 't <br /> c <br /> I Customer <br /> Lsignature�77�:r-":!: <br /> Signature: <br />