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Dec Z7 Z016 17:05:3B EST FROM: F'M/50046309011 MSG# 173693540'--805-1 PAGE 045 OF 06Z
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<br /> Pi ckvp Receipt PicknV sato: 06/27/2016
<br /> EDT Manlfodti ljo1r,471ai
<br /> EAT Trip LoR: s73057
<br /> QtQrQ NO, C'1554
<br /> c 20a"=
<br /> PM1 MART STOCKTON Lakin. Tiro west
<br /> 3223 E F3AXKER I<A'l;B 1-i3o5 Spring Ave
<br /> SIOCKTON CA 95212 Santa Fr JPringo, CA 90679
<br /> PHONE: 4109-473-3439 PHONE: 900-484-275"
<br /> CF>ID: 1331982-01 TPID: 10001659-01.
<br /> Truck: 423468
<br /> Trailar= 31211
<br /> License Numbex; (;F3462S
<br /> Rogis'Grat;loll: If-02345
<br /> 5tutq: ca
<br /> xtam (6%010m ��'li tun) Otl'
<br /> nixes Qickod Up: .55
<br /> 24%maes maw= / p�nk!r'j or DAZVPR: SOTE•LO, COROU N
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<br /> Haan CO3%f4Aentiality C2ai=. The information p.rovid.od on Chia form *hculd ba I
<br /> counxderad confidential, proprietary, and/or tXddo secret. In accordance with
<br /> Title 1.4, CCP., soCtioi>, 21041 Vt'meq, should ,*ny jumnbcc of CPic public regUoat
<br /> dis.cloi ire of this �.nformat:ion, Y roquoat that Canacycle contact me at the
<br /> addxo3s nna telephcnq nivmbax dtk5ovo. ;
<br /> Tlectrorsia Reporting to calpAcycle. 7rakin Ti.ze West has bom:l autho9j,tod by
<br /> CAaRQCyQ1Q to Dart'C'Pata 1n the W'h5te Arid UM*d Tikes Nnn.l.ftox.t 1ADT 11124a4lt:rren:lc
<br /> re POCting p;og,tem. On behalf of tho cuatomey. li,at@d on tht.a POxiA, LmkiXl T244 `
<br /> �aet wi11 alactxoni.oally taansmit to cal Recycle all required lrlfo=etti©n from 4
<br /> th2a rnani[Cst. CAIRacyalc has apiprovmd the. La.k. n Tire West Eta farm fox uadr
<br /> wwthiri 'Che Waste Tire Manitost 5yatem EDT program.
<br /> OuoDeiona7 DJcaano aoritact your Customer Scrvlco Represontative at 800-t88-2752 or email
<br /> cu.�comoraervicetdlakintaze,com.
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