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TERMINAL ·RECORD UPDATE C~R~ER ~PE CODE <br /> SU~REA · <br /> <br /> EMERGENCY CONTACTS ~ In Callln~ 0~ of <br /> DAY TELEPHONE NUMBER ~/AR~ <br /> <br />EMERGENCY COmACT (~ME) DAY ~LEPHONE N~BER ~/~ C~) <br /> <br /> :~H~TED CALIFORNIA MIL~GE FOR THIS TERMINAL FOR <br /> <br /> UNDER 15 001 -- H I , <br /> ~00,000 ~ SO0,000 ~,0~,000 ~ 2,~0.000 ~ S.~0,000 ~ ~0,000.0~ ~ ~0,~.~ <br /> O~c~TING AUTHORITIES <br />PUC I T-' "'/' ~ MC ~ TCP ~ TCP ~US DOT NO <br /> <br /> CHP 100D COL. INSPECTION LOCATB~N WUMBER. ,~ l ~t:~ l, CIT~ OR COUNTY) <br /> <br /> ~ ID NUMBER INSPECTION DATE(e) <br /> <br /> ~OTOF( CARRIER i <br />hereby certify that a ¥ o at one described hereon and ,*,;~,,..'ed on the attached pages (2 through ), will be corrected in a <br />roviaiona ~ tile,California Vehicle Code and the Ca ifomia Code of Regulations. I understand that I may request a review of an uncatisfactory <br />ontacting the Motor Carder Safety Unit Supervisor at within 5 calendar oays of the rating. <br /> <br />ARRIER ~:,,.,-.~?NTA3?E'S,'PRINTE_-~ [~l~S TITLE <br /> <br /> <br />