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_ . . <br /> 5 2 5 4 9 2 5 ®- A, Pick Up ❑ Delivery <br /> Hauler Tire Program ID / Site SuffixFacility Telephone Number <br /> DATE <br /> Wpa'ple Tire Count Weight m Lbs. <br /> Y' <br /> F] Volume Cubic Yds. Weight in Tons <br /> U <br /> {✓///��t� !�. ��� _. .. ... ,�.. .. <br /> .,.. ABOVE <br /> Initials <br /> ;gL <br /> N/A io! PERJURY OF THE <br /> Whole TK i LAWS <br /> OFTHE STATE OF CALIFORNIATHAT THE <br /> ABOVF T E PROVIDED IS TRUE AND CORRECT. <br /> J .,....� <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suff ix <br /> 5254924 -- A, 1ZPick Up L Deliver t R R Ifl P1 <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> DATE <br /> o6 - <br /> /( hole Tire Co'uaTt VyegSit in Lbs - <br /> � o 0 <br /> m <br /> VoVSttne Cubic Yds. Weight in Tons <br /> O �,� <br /> r I r..H, ■ <br /> n..r I 9AT UNDER PENAOT OF PERJURYOF THE k <br /> LAWS OFTHE STATE CALIFORNIAVETTHAT THE <br /> ItwFORMATIaI PROVIDED ABOVE IS %IE tO CORY:=" <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 5 2 5 4 9 2 2 -- Qi T 9 <br /> Pick Up Delivery <br /> . .._...____.. <br /> Hauler Tire Program ID ! Site Suffix /� Facility Telephone Number <br /> � . DATE �V'' <br /> N t wa/[-ZWhole Tire Count 11 Weight in Lbs. <br /> WoGaIre Cubic Yds. n Weight in Tons ' <br /> E <br /> 1= - <br /> ���� CA b� <br /> ■ Initials <br /> IiI CERTIFY PERJURY OF THE <br /> Oe LAWS OF THE STATE OF CALIFORNIAA THAT <br /> Y ORMATION PROVIDED ABOVE IS TRUE AND CORRECT <br /> I _ <br /> I <br /> � I <br />