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CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: / i7' / <br /> TIME/HORA: Com' <br /> DRIVERS NAME NOMBRE DEL CHOFER: 1 v J , <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO D E LA COMPANIA: <br /> _ 1 -, <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: 25, <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ON T <br /> .S-b r GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> kA cl <br /> Cc 'yd 1 , <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: r <br /> CVWS EMPLOYEES SIGNATURE/FIRMA DE EMPLE DO DE CVWS: <br />