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Dec 27 2816 16;56;88 CST FROM; F"M/50846389011 MSG# 17369354101-1085-1 PAGE 882 OF 062 <br /> r Pickup Rocalpt <br /> 15305 Spring Ave <br /> Santa Fe Spring'), CA.90670 PICkup Date: 1/512018 <br /> Hauter and End Use Facilily EDT Martlfest#: 1101308137 <br /> Truck: 334637 EDT Trip Log 0. 503148 <br /> License Number: Slat®:CA/D097640 <br /> Stala: CA <br /> DeCal: 15..42485 Stora No,;WAOIs54 <br /> WAL MARTSTOCK-l'ON <br /> 3223 E,HAMMER LANIr <br /> STOCKTON,CA 95212' <br /> TA10Pn0r*#:209WI:3 38 <br /> 7PID: 1331982-01 <br /> ITEM ._. _ -'TM —m <br /> iter: 544 QTY <br /> Whole Trims <br /> -- 64 <br /> 1"oral; 84 <br /> I cern Y Utut under Ponntly of porjury imow tho Wws at tno Huila of 1 o4r*viral under{xtnAlty 01'yterjury IJIWQr Cao z4wp of IN@ STW^ cf <br /> Cal;I'mia that"trrtormatiwf provldod ebwe In",Inc ca+rget CelInmFq that tha Irrfurmallon�ppmW10lrl ab"le UurJ and corrgc� In <br /> edtu <br /> aon,I am aware tool fAtorkAtldn o1 thle lntortfm don may result In <br /> euepenelrin,moaallon,or omni or renewal of thet.vrrusla Tlrn Hauler <br /> Regiftratton purswrrat tra Prtt>dc fie urcoa CIPUR LACtIdn A2JHD God troy <br /> wo In civil pona"163 up to$25') pa dr y,par vlolatbn or <br /> YdT'nitltMllvn penartfaa up 10$5,00 Penr'vlUlntlan per day no d"erlbod <br /> In"U6114 FRooQu"il Clips-SocUGn 42902. <br /> Generator Sipnalure Drivor,Signature <br /> patrlce JORGE SOTELO <br /> �j f f• , �� fir <br /> C00donfanty Clnlm:The lnformatlon prmAdrud on thlk fprm rho td bar eanrtdo.«f cw4do,ruol,pmprto;ory•and/or tradei <br /> ^�'? event.to m(=rdanco wltN Ttpo'la,CCR,Sootlon 17641 at.eoq;Omm tiny mamber'of the puVicim request dtevloeuro of tNlo <br /> info,metlan,I mqumt that CaIWJeCyde oweta rrle 131910 t+¢diraa end telept no nuMbarlihwe. I <br /> s Eloctrank keportin to t:elROcyCkr.LgNn Tire wr;gt hem baen nutNoricaa py Ga U: yUn 1n cue In the WL1tHq end <br /> tleeul Tiro Manflret IxL�T.olectrnntC r�,portlnp luippr�m.qir F,eha�r}o{fho�tarnur Ih2pd on thle of }rn.[trkln 1'lrn WOCt wfYl <br /> elpcLmn(cally tr amlt to CatRocyGe all roquired Irderrnalanfmm this rmmnifeeL CeiRecyde hag app oved the Lakin Tro rF <br /> Wow EDTtormfor usa within the Wooft Tito FAenlf al'System ISD7 ptW?pm. ` <br /> f1 <br /> k <br /> r. <br /> I <br /> 4 <br /> r <br /> y� <br /> N <br />