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CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> TIME/HORA: C D <br /> DRIVERS NAME/NOMBRE DEL CHOF l lc <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> � - '�> -7 3 -- 5Z, 6 C�, <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ONE JA;'or GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> CA/,C, c <br /> .44 <br /> 9 <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: / LLO' �`;. �`y�'�c��u <br /> CVWS EMPLOYEES SIGNATURE/FIRMA DE EMPLE DO DE CVWS: <br />