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ELWI. • - - - I I Alilki 0 k Lo s - • • • 1 • 14H I I I ILIM I I 9ZM;.d • • • • <br /> 5607259 -- A /TE ick up E <br /> Delivery I k � 4F � T <br /> ®- © ❑� <br /> Hauler Tire Program ID / Site SuffixFacility Telephone Number <br /> cv a Whole Tire Count ❑ Weight In Lbs. <br /> } ❑ Volume Cubic Yds. ❑ Welght in Tons - <br /> �I <br /> � 3 <br /> O ��, <br /> ir <br /> ■ ,a,n ..'y 'ells 'i..,. ln,tials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Q. <br /> 5254919, -- A " Pick up � Delivery � ® �] ❑ �] � �-� ❑ <br /> o Hauler Tire Program ID / Site Facility Telephone Number <br /> Suffix <br /> DATE } <br /> V) <br /> M /f—J, <br /> h6e Tire Cooft ❑W bw L be.. -- <br /> a! r 'cubic t9s..❑ weight i.TOM <br /> I I <br /> 7 l,. <br /> d <br /> � c <br /> ■ rnma,5 <br /> }--f-•/�//,yj�•/•/,// __ 'Me„`+N4 T"oir�Nm iMV IV! ArSTATE OF <br /> �A THAT <br /> dTFE tT ANO CORRECT <br /> 0� <br /> �- <br /> 5607282 -- A Pick Up ❑ Delivery <br /> Q <br /> �•M <br /> DATEL.. ... �... <br /> Hauler Tire Program ID / Site Suffix j1 � Facility Telephone Number <br /> /r- <br /> Whole Tire Count F] Weight in Lbs. <br /> Volume Cubic Yds. ❑ Weight in Tons <br /> F) Piaolet Ni: <br /> 14a4'.I!i-F T-.. DUE ■ P �Initials <br /> " . (N/A for l CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> °j 11 Wholo TIY2S) - LAWS OF THE STATE OF CALIFORNIA THAT THE ` <br /> Facility Tire Program ID Site Suffix �i <br /> R <br /> �- Comprehensive Trip Log Number Load Information <br /> 5 6 0 7 2 85 -- A 7Pick Up Delivery ❑ ❑ a ❑ ❑- ' <br /> Facility Telephone Number <br /> aai Hauler Tire Program ID / Site Suffix <br /> ac DATE as :-. ❑a , o� <br /> a ❑ � <br /> c waZI/whole Tire Count ❑ Wetght in Lbs. <br /> M <br /> 2 11 Volume Cubic Yds. Weight in Tons <br /> m <br /> F <br /> o iiaulerN.uTlc <br /> lnitia,,C <br /> INFORMATION P UNDER PENALTY OF PERJURY OF THE - <br /> \ /�/ I I � STATE OF CALIFORNIA THAT THE <br /> I`I LAI Y THAT TATE O D ABOVE IS TRUE AND CORRECT. I <br /> l'N/A for I CERTIFY <br /> OVI <br /> �'"'7 � WIlo�1e Tires) LAWS OF THE S <br /> INFORM <br />