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Dec 27 2016 17:02:54 CST FROM: P7M/50046309011 MSG# 1736935401-905-1 PAGE 034 OF 062 <br /> (A <br /> i y � <br /> Pickup 12.eeceipt >yla)wv Date. 01/25/2026 <br /> Xor fuLtATast: 11Q155323$ <br /> EDT Trip Leg. 552970 <br /> 8toxm No. 018.S4 <br /> aemu= HZ:eznd I*d ume Edi iS�. :.ty <br /> M' r ST0CKTON Lakin Tire wcat <br /> 3223 z HAMMR LAN'8 1.53OS Spring AVG <br /> ST0CMON , CA 95212 Santa re Springs, CR 90670 <br /> 209/473-3439 TPI11: 1000659-01 <br /> TP1D: 1331902-01 <br /> Truck: 515784 <br /> T_01t 1c.;i 9908 <br /> tixc;ense Nuabcar: 9E.93O16 <br /> RC{li stTaCtort: 16-o23es <br /> Sthte: CA <br /> xtm <br /> Tire* Picked Up: 109 <br /> �°�9�firt'P-og NaY>.lat,t,.f �aRi, _ter <br /> fie.1 •t�', �'.Yl'yl .J ppC"t���l�ST. <br /> AT the };ea' +•,�sr{; f> <br /> �,p'�if3'iNYN� <br /> o <br /> J,rco�:i..J.ydy�F�"f,}Slsd' fi4.:{pi7J'yk5{,i!i <br /> C*)DX-W t-:L&l.iry Clk=: Thq rntormATion provided on this form should be G DQtq <br /> Cons3dexed coaPideatiml, proprietary, and/or trade secret_ in aroordanco w,,ith pt� AV^ <br /> Tltic 14, CCR, $ectial) 17041 Qt.yeq, ElhOwId any member of the public request � <br /> dlrcloauro of rhie IrxOxma:ion, I req-jast that CAaReCyC1e contact trod ac t;bm j <br /> &ddzcss and telephone noube.r abovo. M <br /> zlectrestat,n abeport v7 to Gm3tei.7ojal Lagin Tire We;ac hay been suthoxice±tl by <br /> Ca1ROcycla to participate in cha wash fund V*td nS4 Maritaat EDT eleactron:c <br /> "POrtloq program. on behAlf of the cuyGcmor li,stad on thSs fo.lm,. L&kin 'Fire ; <br /> wCat will al,octx*niC&lly te..dnamlt to CalRecyclo 411 required Information Zr.wn <br /> Chia rnnMifoat. CalRaeyclo ha* approved they Lakin Tire Woa0 EDP form tor use <br /> withj.n thea Wnate Tire blani.favc Syne" la`DT pzogram. i <br /> l: <br /> Queationa? Please Contact your Cuatomex 54rvice Reproee;ntative at 800-4e9-2752 or etttdil <br /> ct�arvas�c,xse%vi CeCd.l nki.nr.i re.com. <br /> r <br /> S <br /> je <br /> i' <br /> ti <br /> r <br /> i� <br /> i <br /> f' <br />