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® FROM :SOLID WASTE DIVISION FAX NO. :209 468 3078 Sep. 20 2006 02:42PM P3 <br /> SOLID WASTE D SION ` e <br /> LOVELACE%L4 TAJLS CO .Ry ANDTRANSFERSTATION <br /> RA _ MIP—E_—TI.IP-E.C—n 91 L RF('.9R7) <br /> INSPECTION INFORMATION <br /> LOxd Checkers Name& <br /> Title <br /> Day&DaEc of Inspec don <br /> Time of Inspection <br /> ® ;kw <br /> VEHICLE INFO% TIO\Ll <br /> Company Name ®. <br /> Vehicic Type <br /> Vehicle License <br /> Number&Truck Number <br /> Ticket Number 1 <br /> Vehicle Contents <br /> 1 Awz <br /> OBS RVATIONSANDAcriONS TAKEN <br /> "Y All 100%,dof <br /> PHOTO <br /> ° DOC <br /> ATION: <br /> VeCS Signature`: 62—A v® <br /> ' <br /> Load Checker's Si lure: <br /> {Driver's sil nahze hereon donates:t;tis presence during the hulmction and docs not admit,confirm or <br /> identify liabitity. <br /> R-WnW0lLMSkLMRM wdom lud ebwiang Tog Mm= <br /> 4'd OLL999660z ooue I H qoe s6S t 0I <br />