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FIROM :SOLID WASTE DIVISION FAY N0. :209 468 3078 ep. 20 2006 02:42PM P2 <br /> COUNTY OF SMN JOAQUIN <br /> DEPARTMENT OF"LIC WORKS <br /> i SOLID WASTE MTS1ON <br /> LO LAC r*LATERIAIS RECOVERY AND TRANSFERSTATION <br /> ANTDAjQAwNSPEC TtnN 1i1rC®_ _ <br /> INSPECTION INFORMATION <br /> Loa Chcckcr°s Name& <br /> Title <br /> Day&.Date of Inspection <br /> Time of Inspection <br /> M <br /> Y \eL IlvMA liO <br /> Comp any Nam` <br /> Vehicle Type <br /> Vehicle License <br /> Number&:Truck Number <br /> Ticket Number <br /> Vehicle Contents <br /> OBSERVATIONS AND ACTIONS TAKEN <br /> PHOTO DOCUMENTATION; YDS NO <br /> 101 <br /> vets Signature•• Date: <br /> Load Checker's SigJsaNrC: Date: <br /> *Driver's signature hereon d=otcs:His presence during the inspection and docs not adfnir,confirm or <br /> identify liability. <br /> 6LfthWwMftMkLMRM mdam load eMcking log 4m <br /> e`d cousla qoa wast i 90 02 des <br />