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CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> TIME/HORA: {; 9 <br /> DRIVERS NAM E/NOMBRE DEL CHOFER: <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> '4 z . (:F <br /> LICENCIA DEL VEHICULO: l <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ONE) )or GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: <br /> CVPS EMPLOY ES SjjIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br /> 42 ,Z <br /> 9 / <br /> L <br />