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CENTRAL VALLEY WASTE SERVICES <br /> TRANSFER STATION <br /> LOAD CHECK DATA SHEET <br /> DATE/FECHA: <br /> TIME/HORA: - <br /> DRIVERS NAME/NOMBRE DEL CHOFER: Pty Jo cc,,— t a <br /> COMPANY TELEPHONE/NUMERO DE TELEFONO DE LA COMPANIA: <br /> n ex i-4---C,a�i i� /, <br /> VEHICLE LICENSE PLATE NUMBER/NUMERO DE LA PLACA DE LA <br /> _ p <br /> LICENCIA DEL VEHICULO: 2-- <br /> -�` <br /> SOURCE OF WASTE/ORIGIN DE RESIDUOS (CIRCLE ONE):TS o6w or M F <br /> OBSERVATION NOTES/NOTAS DE OBSERVACION: <br /> DRIVERS SIGNATURE/FIRMA DE CHOFER: X-4 <br /> CVWS EMPLOYEES SIGNATURE/FIRMA DE EMPLEADO DE CVWS: <br />