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CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> A <br /> TIME/HORA: t c, <br /> DRIVERS NAME/NOMBRE DEL CHOFER: i , C <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: ..L 53n- 3 <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (ciRCLEONE T") or GW or MRF <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> t vl (3 zi 111 J)A <br /> J <br /> DRIVERS SIGNATURE FIRMA DE CHOFER: <br /> CVWS EMPLOYEES SIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br /> 12, , <br />