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CENTRAL V <br />TRA <br />LOAD <br />DArE/FECHA: 3t ; <br />TrME/HORA:Ii <br />DRIVERS NAME/NOMBRE DEL <br />COMPANY TELEPHONE/NUM <br />'4 <br />VEHICLE LICENSE PLATE NUM <br />LICENCIA DEL VEHICULO: <br />souRcE oF wAsTE/oRtGrN D <br />oBSERVATTON NOTES/NO <br />DRTVERS STGNATURE/F| RMA <br />CVWS EMPLOYEES SIGNATUR <br />WASTE SERVICES <br />SFER STATION <br />ECK DATA SHEET <br />\ c,l't <br />o*6o <br />CHOFER: <br />O DE TELEFONO DE LA COMPANIA: <br />ER/NUMERO DE LA PLACA DE LA <br />6) 4;t't I <br />r GW or MRF <br />s <br />a <br />RESIDUOS lcrncrr <br />DE OBSERVACION: <br />LL <br />I VI <br />E CHOFER:it 1-1,-J,za' <br />FIRMA DE EMPLEADO DE CVWS: <br />I <br />t <br />t