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FORWARD INC. LANDFILL <br /> REFUSELOAD CHECKING DATA FORM <br /> M.CODE: CUSTOMER M <br /> ORIGIN: APPROVAL <br /> DATE: TIME: <br /> Disposed in WMU- <br /> YARDS PER LOAD: <br /> HAULER: <br /> TRUCK NUMBER: <br /> MOISTURE CONTENT: DRY MOIST WET <br /> BARRELS OBSERVED: YES NO <br /> IF YES, DESCRIBE <br /> MATERIAL TYPE(S) % OF LOAD DESCRIBE <br /> PLASTIC % FABRIC <br /> CARBOARD % PAPER <br /> METAL % SHEET ROCK % <br /> WOOD % OTHER % <br /> GRASS BRUSH % OTHER % <br /> SIGNATURE OF INSPECTOR: <br /> PRINT NAME: <br /> BRYAN A.STIRRAT 6 ASSOCIATES <br />