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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: J, <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> 2- <br /> / -- 3—�3 <br /> VEHICLE LICENSE PLATE NUMBER/NU, M-�ERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ONE j-TS,a. r GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> V 1 - n <br /> 2go, <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: <br /> CVWS EMPLO)(kf S SIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br />