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WORK ORDER i MANIFEST I <br /> 1274877 0 3 97A <br /> Waste Tire Hauler "ff 4 Waste Tire_generato.r <br /> McCoy Truck Tire Service Center,Inc. Name:* RVG#,C� <br /> 1407 Lone Palm Ave, C� �� Andres �U`�?i�t. NO►L�0�p `A <br /> Modesto,CA'95351 City: state: <br /> 209-52l-j6221 Zip: a1 Phone(% ► R%�'" � <br /> TPID-12748'77-01 TPID With u ix: <br /> Load Date: 1 6 Load pe: &Whole ( j Cubic Yard ( ].Ton [ ]Pound <br /> Decal # ) %a A-q <br /> License#n!F state:[ Dot Code: RWDY Pick-up Count: <br /> JKREGULAR TIME [ J OVERTIME ( ]CALL OUT CUSTOMER PO# <br /> FLAT REPAIRS WHEEL SWITCHES MT/DISMT <br /> C EMA ' <br /> Lfi_ SNENo,fiu)?0(0 VEHICLE n1 aE 43Z VEHICLE NO'411`�� <br /> LOCATION; Nue. <br /> WORK PERFORMED;DJV rU,[*i t' ` r �t r tN�iV„�^ MILEAGE IN <br /> QeL*►I?i�'a ."_rcl� Q MILEAGE OUT <br /> TOTAL <br /> c7l..p TIME IN b <br /> iiJ � d TIME OUT <br /> SIZE MFG. DOT# TREAD WHEEL COMMENTS <br /> 01to q3 <br /> 2 <br /> 3 <br /> 4 <br /> 6 <br /> 6 <br /> 7 <br /> RE-TORGUE 4UG NUTS AFTi=R 50 TO 104 MJL.ES --- NOT ' FQR GOODS LEFT AYS <br /> M. SJgrts' yre., Date^t :, , h Customer S a ,e*- Da <br /> i31vets(,+`jgme prlht Customer Np ; ,(print) <br /> G�!•riiL,",.' el u�d�rtlw hws df fh.8th bf.. ►�t.u4t � d d itr�. 1N iklM d _ ,.. <br /> p� In 1 w+.w NES hbUkiibn rive'.. 47" proMgid w�Dw 1�J addlro�� �N«*n�y{�wro�un¢ m.r <br /> 0110 w«u n.H�uirdnii.e.w.y�e b i7 000 <br /> b• t T on 000 nd H.W!!n cM i� MiMup b .000 �d�1, pi vlMsbon p�rw y'ra.ddvbd h lhiblk Rwz�w Cady r sm ave <br /> ti�drroh� ��uw�r +. ww.w a ss,00�c.rloNeon w.ary..` inudfc <br /> I Waste Tkv Delivery Point <br /> fQ0 iyery Count: -_._.-._._ ._�. Date ]Same As Hauler <br /> wo. Waster. 'Polar, . Waste Tire Delivery Point <br /> WORK ORDER/MANIFEST Jric()oy?reek Tirs,geivice'Center [ )McCoy Truck Tire Service Canter <br /> 10ElSO Hattan Rd 1537 E.Markel 3t. <br /> 1274877-505397B 0 0 3 9 7 8 Fronat C�ariaP Ca.%231 Stockton,Ca,96205 <br /> TPID tY135 986-01 Phone,Z09-982-0116 TPID#1778978-01 Phone 209-652-0434 <br /> 2 <br /> "� oi,yrA'. ..'��:y�2�4P:;. •�x':- ;';y't-�.:,'t,:?:� '`:.s't-,w':�°T+t'.;:i' j „,,r xc S+ ''i•i'' . <br /> pR,�xl4 '°f ... ..ilas'�"•�L ji,v9�- .. Y:a..i.:.»...-. a . .... —.•�i.' ....,.. . . .2«:5'.,.:-JM.�.•. ... '"r�; ....��.Q':I,'4 _ _. <br /> `if <br />