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FROM :SOLID WASTE DIOISION FAX NO. :209 468 3078 -Sep. 20 2006 02:43PM P4 <br /> r <br /> COUNTY <br /> OF SAN 3OAQ s <br /> DEARIMENT OF PUBLIC WORKS <br /> SOLID WASTE DMSION <br /> LOVELACE LALA.TERLkL5 RECOVERY l>TRANUER ST t' M <br /> _ Qbi LOAD SPF.t"I'IQ RIECO_RD <br /> INSPLCT1ON rNFO TION <br /> Load Checker's Nsme <br /> Tide Vit.. .... - __._.....a <br /> D3®j' Datc of <br /> In,'G(t1051 ! 4 <br /> Tirrc of Inspection <br /> I <br /> VEHICLE MORMATION <br /> Company N:mc <br /> r Mer <br /> V01'Cle Type <br /> Vehicle Licensc <br /> Numbe:R TrLc Number <br /> Ticket Number S �_..._._. I <br /> t eh;clr eontGrsts t <br /> OBSERVATIONSXND ACTIONS TAKEN i <br /> C) <br /> AUG 7 <br /> PHOTO DOCUMENTATION* YES 140 „ <br /> Xhiver's Signature:. Date:_ <br /> ` Load Checker's Signature: Date: C Z <br /> Driver's sipaturc hereon denotes:His presence during the inspectian and does not admik cc;z'_Im or <br /> identify liability. <br /> P.Vawef0LVSLM.VM w4em 1wd dw0dn log 6904 aac <br /> 2'd tGSZ 6BOZ ®ousIg qog e6St0i 30 02 daS <br />