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)�Ya—st T i-ro Hauh,, <br /> '�`k I" Waste Tire Generator <br /> Conlin-, Inc. N�ifiw <br /> Aw Addf(ISS <br /> CA <br /> Cify <br /> Witt, "�Ljtf, <br /> Decal ;:r lyp": I I holo <br /> P�'Ljnd <br /> Tick-up Count: <br /> Dol Codw <br /> ,0L AR j,jNjj- <br /> REC RWDY <br /> FLAT CAH o(j,f CLJS'I0MFR 1,(),v <br /> WH[I-I sww"I'll,�_(3 MT/DISMI- <br /> LICENSE N%.i --——----------- <br /> Vf I Il(',l F MAKE MILEAGE <br /> LOCATION VEHICLE NO <br /> ""'RK PEP <br /> \FORMED <br /> MILEAGE IN <br /> MILFAGE CIL)I <br /> TOTAL <br /> TWIE IN <br /> SIZE MFG. DOI'# TREAD WHEEL COMMENTS <br /> 3 <br /> 4 <br /> 7 <br /> RE-TORGUE LUG NUTS AFTER 50 TO 100 MILES --- NOT RESPONSIBLE FOR GOODS LEFT OVER 30 DAYS7 <br /> Drivers Signatul": <br /> i ­___Date:'711:,/J( Custorner Signature: Date: <br /> Drivers Name(print), <br /> Drvers Nam Customer Name(print) <br /> P <br /> ,$(I"Mot I, pensit,of 1111d laws bf the Skris(fT, <br /> Is 1 <br /> �0 __0 <br /> okk *w,(hot f"kAtkol to Owe wtuff"aw may <br /> ""Awwdod <br /> thal 141 <br /> =YkJoid above to I-em <br /> matiart in fuffa;w�w' vys"N IAII HANAW alkin fAirimis"I <br /> 41suft dvo INNI I"kip it)S25,01M pof k,441 of Ilftlfikohk�n rivity <br /> wksaae <br /> K"oumlo W <br /> h,the piow R6601,940111,CAX* 42mov Y, w vk4atkom 1w day as d*K"md 4 Matrilove wities L",t"IS.666 <br /> _ks C c <br /> _911VOry COUI <br /> 1 ,16911very Count: ____.j _TDate /0' as 6 71;' #�i'fv;;1, <br /> I Same As Hauler <br /> to Tire Delivery Point <br /> WORK ORDER/MANIFEST A&& &.,t! Waste Dre Dolivory%nj <br /> oy Truck Tlria Service Center I McCoy Truck Tire Service Center <br /> 10860 Harlon Rd. <br /> 1537 E. Market S1, <br /> r 1274877-607965B 'R French Camp,Ca.95231 <br /> Stockton,Co.95205 <br /> TPID 01362986-01 Phone 209-982-0115 TPID#1778978-01 Phone 20"52-0434 <br /> "am <br />