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CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> TIME/HORA: f I5' <br /> DRIVERS NAME/NOMBRE DEL CHOFER: <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> 2 0 C) - -;�'5 -- 5-zl Zi�,n <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> LICENCIA DEL VEHICULO: <br /> 74_ <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ONE .TS or GW or M F <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> fy) 1 � <br /> / ` <br /> 1-1;77 bc�q;>,-i z Z/ 5 nk <br /> i <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: <br /> CV,WWS EMPLQ,I EES SIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br />