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i <br /> 0 WORK ORDER/MANIFEST <br /> • <br /> 1274877- 50754 <br /> Waste Tire Hauler } Waste Tire Generator <br /> � � <br /> McCoy Truck Thme Service Center, Inc. NaAR $ALS <br /> 1407 Lome Paim Ave, ► Add :l@ISO 5 int <br /> Modesto,CA 85351 State.. <br /> 2:09-521-8221 ZIP: ksvb Phon �!'X <br /> TPID-1274877-01 TPID with Suffix: L$1 "-rS7..C1; — &. <br /> Load Data. 45 1 lr6 1# Load 1Ype:.[ ole [ ]Cubic Yard [ j Ton [ Pound <br /> Decal #atm,-- MMck-up Count: <br /> License#:5j,t-{ State: CA Dot Code: RWDY <br /> [1f REGULAR TIME I ] OVERTIME [ ]CALL OUT CUSTOMER PQ# <br /> FLAT REPAIRS WHEEL SWITCHES MTIDISMT— <br /> LICENSE NO. VEHICLE MAKE MILEAGE VEHICLE NO. <br /> LOCATION: Y�l Akb C-ti-- cz't CA <br /> W RK PERFORMED: D �IL <br /> ILEAGE IN ���8-4-gr <br /> -'LI 5 LX t.0 fka t 0 L_$�� 1��L Q 1�OV�'{ I=AGE OUT �JS'S��•?-�''- <br /> r TOTAL <br /> r I <br /> YI CW) <br /> TIME IN '�g <br /> til1f.G ��t ME OUT <br /> SIZE MFG. DOT# TREAD WHEEL COMMENTS <br /> 2 ` . K <br /> 3 <br /> 4 <br /> 6 <br /> 7 <br /> RE-TORGUE LUG NUTS AFTER 50 TO 100 MILES NOT R'ESPON8 QDS LEFT OVER 30 DAYS <br /> Drivers SignatureDate-.610114custorner Signature. Date: <br /> Drivers Name(print) 4'* 4t- Customer Norne(print) <br /> I oKaA r+�t ud.yq sr vl ry add vs d s.ara.ao.rorti..n,r ur Inarm.uw l oNMI riCwdK a �wwWsr mpriw.a tlr saa d c.wreyr wr r»Mems�on <br /> '..per d 6w ird rd a dNi�ir of"lis w I Wwr " �II WG b s2e°°° ,i puDAc R..aua,Ml�Im or <br /> S=kk `��It2.'r'JU� U0 b N 000 <br /> b tlNNc ""oaM°n +A9Deo.ney wuM i�dN�.p�. �� p+�vY+Irfon SW dy r <br /> pay��m a M ads�r up b i6 006 pu vldstlon dq r In <br /> envery Count:_-_ ,T_.. wage Diner tyPotrrt <br /> Date 5' ��� �� t i same Ass Hauler <br /> ps 04a Tire Delivery Point Waste Tire riy Perim <br /> WORK ORDER I MANIFEST [kMcCay Truck Tire Service Center [ ]McCoy Trud(TWe Service Caror <br /> 10850 Harlan Rd. 1537 E.MadW St. <br /> 1274877-5 0 7 5 4 7 p B French Camp,Ca.96231 Sin,c._OW <br /> TPID#1352988-U1 Phone 209-982-0116 SPID#jT,?8#8-01.Phony 20.852-0434 <br />