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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: �� p1c" e___ <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: 3kS <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ONE •T or GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> ., <br /> Ile <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: ! <br /> CVWS EMPLOYEES SIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br /> i <br />