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CENTRAL VALLEY WASTE SERVIC S <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> TIME/HORA: <br /> DRIVERS NAME/NOMBRE DEL CHOFER: r . ' C` 'l;�z,�- � _ <br /> t <br /> Ll <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LAI PLACA DE LA <br /> LICENCIA DEL VEHICULO: � <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ON :TS-/or GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: tl"_ <br /> CVWS EMPLOYEES SIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br />