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Dec 27 2816 17:81:45 CST FROM: F'4/50846309011 MSG# 1736935481—ROS-1 PAGE 029 OF 062 <br /> CA LAXW <br /> 4 <br /> x <br /> 8iCkup Recteipt vd-cjcup Data., 11/30/2015 <br /> $DT Mas i:f at: 110151$431 <br /> EDT Trip Z49: 544972 <br /> stoxe leo: 01854 <br /> aftmaxafor Maular and Und Sias pA;g1,1ty <br /> WAL MART STOCI( ON Lakin Tire West <br /> 3223 E HAMER BARE 15205 Spring Avec <br /> STOCKTON , CA 95212 Santa tc Sgringa, CA 90670 <br /> 7.09/473-3438 TP1.5z x000ES9-01 <br /> TPID: 1331982-o1 <br /> Txuck: 923y5E <br /> 'tsailor: 936 <br /> Ucenae Num).3er. M4829 <br /> Rogistwration: 18-4�2J45 <br /> Scat*, C.A <br /> 1=-tem Qty <br /> Tircz Picked Up: 1178 <br /> 14maturas of Haymltx_/__oftlotator <br /> ,;.t j h 1 .q� ,.+l. <br /> caa,�Sdeaas�alicX c],4UA. Tha irtfol=At on provided on ehia .r.'orm ahould be G T�Ct4 i <br /> eonaidorod confidential, proprietary, and/or trade aocret_ in aeeordAnco with 4� <br /> Tltl* 14, CCR, Section 17041 et.seq, should any manner of the public roqunat •4p <br /> daaclosuro of this information. I requ.cat tha.r, CalRocyale c.onta.ct me a.t r,.ho <br /> addrona and to:lephone number abcw. a <br /> 9,10ctfion:lo Report..8% to CA,)2ACVq!e: Lakin; TJxo WpdG hal been a+utboxiztd by <br /> CaaRacycle to POxticipato In tha 44oto Arid Uaod airs MnlZa5t WT oleotrordc <br /> caporri.hq program.. Qn behalx of the cuncver .li oved on this form, Lakin Tiz*. <br /> bloat swill electronically tr.4noxo.t to CalRecycl,o all requixed informtion from <br /> this mAnifept. CaalRocycle ham approved tho Lakin Tlra Wont EDT foxyn for uon <br /> Within the Wasta Tiro Manifest 3ystan FAT prograan. �• <br /> Quaationo? Please contact your Customer Service Repsosecntotive tat 800-488-2752 or email <br /> cuAnomoraorv7.Ca@1ak�.nt'Sse.cc�W. � <br /> F <br /> r, <br /> r� <br /> 9 <br /> F <br />