Laserfiche WebLink
May 13 13 05:03p Trailer Proz 209-858-0080 p.2 <br /> DD-DQ <br /> y <br /> 38 3 819 b Pick Up El Delivery <br /> Facility Telephone Number <br /> Hauler Tire Program ID f Site Suffix DATE / l D� <br /> Rw fn D <br /> D© P® <br /> ul Whale Tire Count In Lbs. <br /> E Volum Cubic Yds.El-Wes; in Tons Q § l� mace, <br /> -'"k.1Y.vq`,..5 61 'Y • (CERTIFYIVAT VOER PEKALTY OF Pi31AW OF TIM <br /> (N/A for LWra OF THE STATE OF CALB=OT8 ATHAT THE <br /> /J VYho:9 Tleos) fxFoaw�ncH PROVLOEo ABOVE 13'MVE AM CORRECT. <br /> o//L L <br /> .,_ Pick up Delivery ©—® <br /> 383819 Q ❑ DSD © ® ® <br /> no [] / 1=acilityTelephone Number <br /> HaulerTlre Program lD f Site Suffix DATE <br /> LU <br /> Rwhole Tire Count ❑Weight In Lbs. <br /> �! l�f j ® t Volume CublcYds.[]Weight in Tonsan <br /> �, Gs <br /> F1 <br /> 1, 6 1y?].•�1��.�1f;,ci::£',u tl L a•c. 1 1 cENTWY THAT UNDER PENALTY OF PERJURY OF T E: *f <br /> 7 . SN!A for LAM of Te1E SPTE Of fwulFwu6A ZHAT THE <br /> MRfOID T1T08) p�FO7WATIDN PROYQ�ABOVE tS TKUE AND <br /> • - Delivery b 1 a a <br /> 455344 -- /4 P�cicuP <br /> D RDD <br /> • Facility Telephone Number <br /> T Hauler Tire Program ID / Site Suffix DATE r 1 I ! Ell <br /> / PIE <br /> . D <br /> _ a Whole Tire Count w�9htin�,s. <br /> Volume Cubic Yds. Weight in Tons <br /> CD j <br /> E <br /> ?S <br /> �•r.ys^p'fe �1 v(4u tr <br /> (WA for ICERTFTTNATUNDER7ENALTYOFP9lJURYOF741E <br /> LgN(SOF THE STATE OF GALJFORmATHATTHE <br /> -Whole Tires) �•4 <br /> NFORp!pT10N PRO"OEo ABOVE 15 TRUE AND CORFECt <br /> Received Time May: 13. 2013 4: 31PM No. 0634 <br />