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I .. • •� �!� <br /> —-- • <br /> Elm- <br /> 4 8 8 2 4 3 - Pick Up slivery 9_ D 09H <br /> .❑ ❑ ❑ �^ J <br /> 4) Hauler Tire Program ID - <br /> a 8 / Site Suffix DATE ©� j r Facility Telephone Number <br /> ❑❑ <br /> oQ�� � a7 � <br /> aa.. aWhole i ire Count Weight In Lbs. ❑ ❑ ❑ ❑ <br /> v` <br /> 11418101813115 ® + �. ❑Volume Cubic Yds. Weight in Tons �! <br /> o . Hauler Name <br /> a <br /> Tri-C MFG/Tire Recycling Div <br /> Hauler Telephone Numbar ❑ <br /> ti Address Safe as Hauler <br /> 2� <br /> 1.70.0 - (N/Aole Tor Jl INFORMATION PROVIDEDA LIFOOVE 13 TRUE AND CORRECT. <br /> 11 <br /> Whole Tire" LAWS OF THE STATE OF CALIFORNIA THAT THE ' <br /> ... ....916737171.70 <br /> CERTIFY THAT UNDER PENALTY OF PERJURY OF'HE <br /> 4853313 [KPick Up Delivery <br /> oaa R R [a <br /> Hauler Tire Program ID I Site Suffix Facility Telephone Number <br /> � DAT)=,I <br /> w <br /> �WholeTire Count ❑WelghtirT Lids.- F <br /> 11418 .. 1 1.. - Jig C'r �y 1��p . <br /> 1018131 a vofulne Cubic Yds.. Wei ht in:Tons �y <br /> n Mauler Name <br /> IW f t�';1,�1DI lGS <br /> Tri-C MFG/Tire Recycling Div / <br /> IP �,� <br /> �l;�ulc;r Tie�iorrt�u7=hitlr�it�,,, DUET �3r`�,..z�r! ,,,Hauler <br /> L✓1��,���1-,��®� IN/A for I CERTIFY THAT UNDER PENALTY OF PERJURY OF THE <br /> ..J „�, Initials <br /> Wholo Tires) LAMS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT IJ/� <br /> .... ..._ ...,. .,.. ....., . . - ..., .,. ... .. ... . .. - . ... ..- . .._.._, .. ,. .. .. <br /> IB'i :i iI Ikil . li L 41"' I E I u L1 ll'I IIb 4441 ,I e �'I <br /> NJ <br /> 4853903 Pick Up Delivery I 4 t <br /> N S a®P I <br /> o <br /> 43 <br /> Hauler Tire Program ID / Site Suffix � Facility Telephone Number <br /> 11 N <br /> DATE <br /> n <br /> Li Whoie Llre Count ❑ Weight,in Lbs. <br /> P n-3 H R. <br /> 11418101813151 0 1011 �Vohune Cubic Yds. �Weight In Tons <br /> 5bet--+ � .C,'1f flu6i�a l �ePfi <br /> iW <br /> o Mauler N- . .. �4�� 4; L.i✓LColti S•1- <br /> ama� 5rK1< ^; a �fo'ZOIo <br /> Tri-C MFG/Tire recycling Div L <br /> U ,Z DEE ` <br /> Hauler'reiephione Nunib'ar I� El Addresis Same as Hauler <br /> 17®0 (WA for UNDER PENALTYOF PERJURY OF THE <br /> F <br /> Whole 7lres) LAWS OF THE STATE OF CALIFORNIA THAT THE <br /> INFORMATION PROVIDEP ABOVE IS TRUE AND CORREC <br />