Laserfiche WebLink
CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> TIME/HORA: L _ �Q3 <br /> DRIVERS NAME/NOMBRE DEL CHOFER: o l/lu_ <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> 2"--)g - -!� ? 3 � L C) <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> I <br /> LICENCIA DEL VEHICULO: V �� 1 <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ONE)..65 or GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> C- <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: Z- S t �t��r✓�" <br /> CVWS EMPLOYEES SIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br /> � � <br />