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C <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS - SOLID WASTE DIVISION <br />LOVELACE TRANSFER STATION <br />RANDOM LOAD INSPECTION RECORD <br />INSPECTION INFORMATION <br />Load Checker's Name & Title <br />Vehicle Type <br />Day & Date of Inspection <br />Vehicle License Number <br />& Truck Number <br />Time of Inspection <br />VEHICLE INFORMATION <br />Company Name <br />Vehicle Type <br />Vehicle License Number <br />& Truck Number <br />Ticket Number <br />Vehicle Contents <br />OBSERVATIONS AND ACTIONS TAKEN <br />PHOTO DOCUMENTATION: YES NO <br />Driver's Signature *: Date: <br />Load Checker's Signature: Date: <br />* Driver's signature hereon denotes presence during the inspection. Signature does NOT admit, confirm <br />or identify liability, <br />Lovelace Transfer Station Solid Waste Division <br />HHW Exclusion Program Public Works Department <br />April 2010 San Joaquin County <br />