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CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> TIME/HORA: �— <br /> � . <br /> DRIVERS NAME/NOMBRE DEL GROPER: - Lc- ,. ! - � CvW4,N-L <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: q / !1it <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLEo ):TS r GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> A J a <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: <br /> .f <br /> CVWS EMPLOYEES SIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br /> r �n <br />