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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: <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO D LA COMPANIA: <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: 6-116- <br /> SOURCE <br /> OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ONE S 'r GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> C: S <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: •J, <br /> CVWS EMPLOYEES IGNATURE/FIRMA DE EMPLEP DO DE CVWS: <br />