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b <br /> 07300 -- B I Pick Up Delivery — <br /> F � �� ❑ 000 HCl <br /> Hauler Tire Program ID / Site Suffix ../ Facility Telephone Number <br /> g DATE I 7I ❑► I T <br /> p <br /> rCount <br /> lu ❑ Whole Trre Weight In Lbs. <br /> �� i _ ❑ Voi+ary a Cubic Yds. ❑ Weight in Tons <br /> � J <br /> Q I <br /> IHr EEE In3arr. �� I/,,lid <br /> Tel � ne Number I <E6E %� Initials <br /> G/�(/ (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> 1 Who4e Tire S) I <br /> tt T� 1f LAWS OF THE STATE OF CALIFORNIA THAT THE I <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT, <br /> Comprehensive:Trip Log Number Load Information Facility Tire Program ID Site Suff ix <br /> 5603632 -- APick Up Delivery ❑ ® � ® �—® ❑ <br /> Z 1� uuu lll___[[L111 III��� <br /> Hauler Tire Program ID / Site Suffix �, Facility Telephone Number <br /> DATE, <br /> - <br /> N <br /> C1 <br /> Whole Ti,re'L.rc u'rc� ❑ vweiht in Lbs. <br /> cC - <br /> L �hI l ''❑ Volume cubic Yds ❑Weight in Totem <br /> E aul?r Na nc� <br /> a <br /> ! l <br /> Il •+rlerf•IL/l/l/10.)I'1+�iL?7/NtlYmlyE"L,�? <br /> rJ _ vwrso TSr� i u P 1n Ki <br /> ` } ! 1 1 / _ - -^':.F aEFRSr1'riY OF 7FkE <br /> TE OF <br /> �_} +sO1■tx'-_s iO•�®AMOK i�T+ AAa CORRECT <br /> comprehensive Tr • Log Number Load InformationProgram <br /> 5603634 -- A i'ck Up ❑ Defiver),, � — <br /> U i <br /> Hauler Tire Program ID / Site Suffix - 1.'� ' Facility Telephone Plumber <br /> /DATE <br /> ar / <br /> a " ;YT <br /> Who9e Tire Count Vert in,il�b.,„ <br /> (/ l��� 11I / ❑ Volume Cuboc 'till. ❑ WeightirrTom' 0 <br /> E SIP <br /> p <br /> M� l�J ■ '�,.._._ A d9rc iInitials <br /> (N/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> r'^ <br /> Whore Tires) LAWS OF THE STATE OF CALIFORNIA THAT THE I rl <br /> i INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br /> Comprehensive Trip Log Number Load Information Facility Tire Program ID Site Suffix <br /> 5603641 -- A [2,Pick Up Delivery ❑ 0 ❑ ®_ ❑ <br /> Hauler Tire Program ID / Site Suffix Facility Telephone Number <br /> DATE'101111 , [P " T D <br /> ❑ <br /> _ _ <br /> lJ out Whole Tire Cn <br /> Weight in Lbs. <br /> ■ U I, 0 VhI V I ❑ Volurne Cubic Yds. ❑ Weight in Tons <br /> G � <br /> QOEEEE i CA-Ci <br /> ►�//�j X F.l ty//� ■ <br /> 1U 1 R Ini'Is <br /> LAWS OF THE STATE OF CALIFORNIA THAT THE � �f <br /> p (NIA for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> Whole Tires) INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT. <br />