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Dec 27 2816 16:57:29 CST PROM: P'M/58846369811 MSG# 1736935481-HHS-1 PAGE 009 OP 662 <br /> Pickup Rorwipt <br /> 15305 Spring Ave Pickup Date: 3/T 3015 <br /> Santa Fa Spri e, CA90670 <br /> Mauler errd En�tlso fiacility EDT Msnifast#; 1101353400 <br /> Truck: 334W7 EDT Trip Log*; 510648 <br /> L(conno Nwrnbar; State:CA/'909700 <br /> Meta: CA Stare No.;WiA01564 <br /> Decal: 15 A2Qa3 WAL MART STOCKTON <br /> 3223 E HAMMER LANE <br /> STOCKTON, CA 95212 <br /> Teta phrona#:2091473-3438 <br /> TPI D: 1331982.01 <br /> ITEM OTY <br /> Traitor: 53728 <br /> Whole Tirgs 106 <br /> 106 <br /> !eotlfty that under penalty Of perjury urkdor the luwa of Mw Stutu of t wtrllfy shot anti tr penny of pariury wrdor tha Mwu of tlw Mato yr <br /> C.aVomle thnt the infarmatian vmvidod above 1%trvonnd cvrroct, Callt'inio:i0i go Intormailon pprovided above to 1"artd con*w. In <br /> gj"hrn,t Pro aware thof(Atsnloattlon of thlu Intont•Don,may ruAutt in <br /> nunpeaylrm•rrlvocrl:lcn,or donlal of tundtwts)oflho Waste Tim Hautor <br /> rwjlctnttan puriunro to Vubar_kenotpoea Code a*Otian A200 and may <br /> rmuitp,civti ponoltics up to$25,006 par day,por vloiAtbn or <br /> udmiplatmllve"naflbS uo 10$5.000 per v"alion per day use d"aitmd <br /> in Club io Rwxurcan Code soctla,42O62. <br /> ©anorator SiBnoturU prlvefr Si aturo <br /> froddie JORGE OTELO <br /> Canfldon'dellty Clsdmn Ter,Infommilon provldad on Ihla form YhoWd be conaWar6d coafidanw,pmprletarryy,an4lor turd* <br /> V D4C4 *odor.In ar:tordww.with Tike 14,CM,Socuan 17041 0)tuoq,chov[d any member of rho publicrexpuaml dwdw.urn orthlc <br /> lnforrrtalloo,I rawaat ittgt dwkocych►contact run atom riiam S anti leieprot*rwmbor attoya. <br /> I F.lfttr'nnlc.Rapor+1w 10 CnlRacyclm Lakln 7Tro wecl heti hnatr auftrlred by CPIR*gd*to panlClpptn In thrt M306 nfw <br /> Us»G Tin•Manitag Ep1'nlrcVan a'r.porting pm6mrn,an batWll of tno ouatfxrP*r tial■a o f thin Tnrtn I-Akin Tlra>V•rt wdl <br /> tnvcaonloalty arnnsmil to GaIRmyclo ati requf a IMarmamn:from itio manem. CzsRKyco ha,%approeed the LAXJn Ttre � <br /> Wont not to,,fur uetp wtilru7 rite Wop1v'r(rm AMenrMet Syaldm CC'S prppr[un, <br /> 1 <br /> 3f <br /> i <br /> r <br /> r. <br /> t <br /> P <br /> r <br /> A' <br />