Laserfiche WebLink
Dec 27 2016 16:57:18 CST FROM: F'M/58846309811 MSG# 1736935401-005-1 PAGE 008 OF 062 <br /> Pickup Receipt <br /> 1 b30g 5prlrg Ltva7 Pickup Bata: W2=1b <br /> San1�Fe SPNnf�s,CA 90670 <br /> Mauler:end End Use Facility EDT fWanifest m 1101344.1503 <br /> 'Frei: 331637 E07 Trip Log*: 509215 <br /> Lic enw Number. Stater:CA 19D97640 <br /> State-, GA <br /> CIOcRl: 1"24813 Store No.; 1554 <br /> WAL MART S TOC TON <br /> 343 E HAMMER LANE <br /> STOCKTON,CA 95212 <br /> Tato honet 209/473.3438 <br /> TPI 133'1982-01 <br /> ITEM <br /> QTY <br /> �>J ctle rr f03 <br /> �_..,....,..,.µ.._,�r_...,,..._..._..__.__.�...„��_ .._......_, Total: <br /> I earthy tlwl undar lbrtblly of pgrl1ttry uncut Ittu law■al rhu Swo or I Cetllry that under pahalty of poi)ury unaor ew Iwwn vr.m%)Stpto ref. <br /> ralitornla Thet the InrormJrklrt ptbvwad above L9 tnxtaW cormC. Gedlftxnaa that thein}omtetan yyrtlyldrad atwva la Jrua dnd corms t In <br /> aodwon,I em owiwrlel fdlClllCat9 kn Of inlp IrgorntliaQr,Mhpy scuum Its <br /> wspencion,nfvOcanQn,or donrar of rwnwwbl of",wnste Tito Mauler <br /> Rtrglalrwtlon puraua m to.Fun1�c Reaeurewt Cod#meadon 42060 and may <br /> roaufl In 60 porlaftr up to$25,0hQ0 por day,per violation ar <br /> adminktrrclwa ponnrti4a up to$5,1700pnr v6lp:lon pwr auy au daevtbrd <br /> to I't bIR,R"Ourcea Cods:50etton 42962. <br /> Gertiw for Signatu ro Drivor$Ig rialur0 <br /> No Signer JORGE 90TELO <br /> 41 <br /> f /�r' � <br /> A/`4 " y <br /> Confldar)WIty(;lalrl Tllp WOMIt Mr)provided rm alio form ahoukl be eanatdarea confldontlul,proprietarryy >yndlw trade <br /> 1 Z0CMr,In*=(dOhDe with TIDO 14,CCR,.SectUOrf 17041 a COa,e,J,ould on)) Anitor'o(tfle publktroquaol 01"oaum wf thla <br /> teff nrOtltrfl,i raqucm lltpt CdiRtcytaa contact me of idle ik4"3h end telpp{lyrtd nurt?ber obovo. <br /> C N1e¢trnmic Rppp nlrV to GlRacytarat Lakln Tire Wm%i hate mete tlulhorlzpd by t vlRNcycla 10 pdnlclpmo In lhn Wp06 And i <br /> Uiad Tiro FUrrlfual k01'Ma,Vonlu rapdttlnp pmorrAm.Cin boh4ff of to CUSIOnAr iln10tl on alis form,Ok'ln The Wawt urdl <br /> f+o wonlca>✓y tranwit to Co)Ro�a air requlrvd In OMWOan fMM flux maruroot CaJReCyde ho$appmveca the Lnkln 7'lfb <br /> Weal EDT fora,fpr U',w,wllhin'ho Waato Tiro Monlroal syat4m 1107-wwram. <br /> i <br /> 1 <br /> pr <br /> f <br /> a <br /> i, <br /> I <br />