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CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> TIME/HORA: I <br /> DRIVERS NAME/NOM <br /> BRE DELCHOFER: I <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: ® : <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ONE) TS or GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> 4 C" <br /> cv� i, <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: <br /> CVWS E PLO EES DE EMPLEADO DE CVWS: <br />