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CENTRAL EY WASTE SERVICES <br />ER STATION <br />LOAD ECK DATA SHEET <br />DArE/FECHA: JLt /9 t R>z-* <br />TrME/HORA:O <br />T <br />DRIVERS NAME/NOMBRE DEL <br />COM PANY TELEPHONE/N U M E <br />OFER:(qvw ( <br />DE TELEFONO DE LA COMPANIA: <br />L C; <br />VEHICLE LICENSE PLATE NUMB UMERO DE LA PLACA DE LA <br />LICENCIA DEL VEHICULO: C q <br />souRcE oF WASTE/OR|G|N DE RESIDUOS (crncre GW or MRF <br />o BsE RVATI ON NOTES/NOTAS E OBSERVACION: <br />V\C <br />DRIVERS SIGNATURE/FIRMA D CHOFER: <br />L <br />^du <br />CVW EMPLOY ES NATU FIRMA DE EMPLEADO DE CVWS: <br />S ?