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• • - • • • ` i - • • • •` -5254929 ®® A i Pick Up ��I Delivery i1-j L - i <br /> Facility Telephone Number <br /> Hauler Tire Program ID / Site Suffix N i t <br /> 2 - <br /> ciL M i iL Whole Tire Count Wei= Lbs. <br /> Iio��Nuunte Cubic Yt&Is, I `0040011k 4Tons <br /> / <br /> � '�, '. ��i 'w �,',' [ (�� ✓ � Initials <br /> Aw A I PROVIDE PENALTY PERJURY RY OF I HF / <br /> / A"4 Tmrm3r AT THE <br /> CALIFORNIANITHAT <br /> AND CORRECT. <br /> INFORMATION STATE D ABOVE IS TRU„ _ ., -... <br /> Comprehensive • • • Number ♦..• itProgram <br /> 5254927 -- ALA <br /> Pickp 1, l� � � ©� � �- © U , <br /> Hauler Tire Program ID / Site Suffix DATE T Facility Telephone Number <br /> v ._... <br /> U c <br /> if <br /> Initial.. a <br /> / _ -s-'U•N3ER PENALTY OF PERJURY OF THE �� <br /> (� ,T*4f* ,. -=y STATE OF CALIFORNIA THAT THE <br /> Yv j- 4r. PQCVMEO ABOVE IS TRUE.AND CORRECT <br /> C—omp* rehensive Trip • • Number Load• Information • Site Suff ix <br /> I � <br /> 5254926 A pick Up � Delivery <br /> Hauler Tire n Program ID Site Suffix e ` 71'_ <br /> Facility Telephone Nunter <br /> hcie Tire Count � Weight,in � <br /> a <br /> Lbs. <br /> Volume Cubic Yds. E] Weight in Tons <br /> µ <br /> 6�c <br /> (M,A for <br /> Comprehensive • • Number LoadInformationProgram;� FYIy� <br /> 5254921 �°- ZPick Up Delivery a ® � U l!J I �- ✓ J <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number �1 u� <br /> y DATE �� ILJ <br /> -- - � - ® � <br /> Uj Whole The CountEl Weight in Ltas. <br /> �- i <br /> V q J l — Ib /, Volume Cubic Yds. Weight in Tons <br /> 1 p <br /> a <br /> � - in2ials <br /> (/ Ti ' 1 CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> RAJA for <br /> - Whole res) ; LAWS OF THE STATE OF CALIFORNIA THAT THE � •, 1L1- <br /> ' INFORMATION PROVIDED ABOVE IS TRUE AND CC¢J7fCT �I r <br />