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CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> TIME/HORA: <br /> DRIVERS NAME/NOMBRE DEL CHOFER: - ' ,A )).)4 <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> -71 <br /> 2 � 2 )' <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: :Is4-, 4 w <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE o(E <br /> _) T,c,o r GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: L �>�> C' S��✓��: �''� <br /> r <br /> CVWS EMPLOYEES SIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br />