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CENTRAL VALLEY WASTE SERVICES <br />TRANSFER STATION <br />LOAD CHECK DATA SHEET <br />DArE/FECHA:-l-.t lL l2-'( <br />TrME/HORA:4',.L5 <br />DRIVERS NAME/NOMBRE DEL CHOFER: <br />COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br />2*9 -?<1 {aLc) <br />VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br />LICENCIA DEL VEHICULO:s(,CrLS I <br />souRcE oF wAsTE/oRlGlN DE RESIDUOS (crRcLE or GW or MRF <br />OBSERVATION NOTES/NOTAS DE OBSERVACION: <br />utqt/'( e <br />\{ <br />DRTVERS STGNATURE/F|RMA DE CHOFER:*,n.$,l'. <br />EMPL srG TURE/FIRMA DE EMPLEADO DE CVWS: <br />€t <br />"^,G