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Bulk Load Verification <br /> Transporter: � ) � <br /> Bin Number <br /> Manifest 4: <br /> Size of Roll-Off Bin Z f <br /> Level of Load (1/44D23/4, Full) 'y7 <br /> Any Free liquids: ld No ❑ Yes If Yes, Estimated Quanity: <br /> Washout: No ❑ Yes If Yes, Gallons Used: <br /> -------------- Full <br /> --------------3/4 <br /> - <br /> ----------(- If/ <br /> ------------- 1/4 <br /> Lead Tech Name: j Signature: — Date: r/S <br /> Sampler Name: Signature: Date: <br /> Driver Name: A Signature: Date: <br /> 180 W. Monte Avenue 1F1L- ER__IMG.Y_G1`ING <br /> i , www.filterrecycling.com <br /> Bloomington, California 92316 (909)873-4141 (p), (909) 873-4142 (f) <br />