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t WORK ORDER/MANIFEST <br /> 1274877- 5 D 5 5 3 6A <br /> Waste Tire Hauler , Waste Tire Generator ft1*1264? <br /> McCoy Truck The Pervice Center, Inc, Name: Ay'r-gNK "rtt2oCtL_ SALE- <br /> 1407 Lonb Palm Ave. Address; fg?')'ro <5 Ilrnrttxr) at, <br /> Modesto,CA 95351 City:{.,5,&,, �-�, v_ State: G� <br /> 209-521-6221 zip,. *t v"1 Phone:( 0q) <br /> TPID-1274877-01 TPID with Suffix: 151 '-?57-M - <br /> Load Date; A 12 b Load Type: [ Whole [ ]Cubic Yard [ ]'Ton [ ] Pound <br /> Decal # yam- o <br /> License#01 F ()�11 _13 state: C 4Dot Code: RWDY � ick-up Count: <br /> [ ] REGULAR TIME [ ] OVERTIME [ ]CALL OUT CUSTOMER PO# <br /> FLAT REPAIRS WHEEL SWITCHES MTiDISMT `5 J �r <br /> LICENSE NO, VEHICLE MAKE <br /> MILEAGE VEHICLE NO, <br /> LOCATION: v w• OCr d —1. c (" <br /> WORK PERFORMED; MILEAGE IN <br /> L4 i 4 't-1 b z -C MILEAGE OUT <br /> IPC TOTAL <br /> TIME IN — <br /> Y24IN T�vSE UT 'LID A <br /> SIZE MFG, DOT# TREAD WHEEL COMMENTS <br /> P { <br /> 2 Yrh. <br /> 3 YN <br /> �,l E? tis FS <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> RE-TORGUE LUG NUTS AFTER 50 TO 100 MILES --- NOT S{8LE FOR GOODS LEFT OVER 30 DAYS <br /> Drivers Si natur --- ^— — DateA 114 l Customer , Date: <br /> Drivers Name print} `�j��. Customer Name{p' <br /> wNy dut under pandry of v�krr u N+a lawi tM Sfata d CaliOorrda Ihsl tl+a 1 n I carNN that iwfdr paNAy of peJury urY.ar the lawn d Nva Scars Nut the inf0rmadon <br /> provided abs`.Y trw.nd oai.et In addtlon,I afi aware a,.a hremeadon d thq 1M0rma0on+++aY 11IzI1 d aggw b 6W YW3�w6,r0npeptplanrltddadyliapn�rl am owon thM NUa Y+lorrtfMon may <br /> roe lft.In aknpenebrl,rrCWo*ri,0r darial'cf rad MIM Waa+a'ytro hauler 6000 rqN int �� �dbdnalbM In PubBc ANou�Yu�Cad�e di wr�A� <br /> pWpssrtt�f�Pubtlo P�wurca Cede wp Dean 41W0 w7 q retWf M dvY p.nMeN up to <br /> Reaaare.11O`'"61cae 47062,"x""0 b sN,oQO'w YORI ,pr Clay as da.«4we In�umb <br /> el[very count: -----! Cate Q /2A j /& waste are.DemryPotnt K <br /> ( ]Same As Hauler <br /> WORK ORDER/MANIFEST taste Tire Deth+ery Point waste 77re Delivery Point <br /> ( McCoy Truck Tire Service Center [ ]McCoy Truck Tire Service Center <br /> 1274877-505536g 10866 Harlan Rd, 1537 E.Market St. <br /> French Camp,Ca.95231 Stockton,Ca.95205 <br /> TPID#1352986-01 Phone 209-982-0115 TPID#1778978-01 phone 209 652-0434 <br />