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MSV TRUCKS 10.18 LOADSLoad Ticket I Ticket No. Muy�nic�ripalifiy (Applicant) A� gp P im r 7nnjra,�� ,,,O S"O �� 4 '0 J; Sub- Cor v l IWARI Truck No Capacity Truck Driver (print legibly} Time Loading Location (Address or Cross St N Date 3 �, -S ID VV i 1 s• n-:u . nitor debris Classiffcation Estimated %, C`r's: orActuai Wei Vegetation [] C &D ❑ White Goods �❑ HHW r ❑ Other* See Below Time Date Inspector /Monitor Unfoading DMS Name and Location "Other Debris Explanation FCopy2: Applicant Load Ticket Ticket No. � Municipality (Applicant) P irn Con rac r 10 a SO , r- /Aji. Sub- Contractor - - 4:3 ! ■ Truck No Capacity Truck Driver (print legibly) �a� I ime Date Inspector /Monitor Loading Location (Address or Gross Streets) ' � �rl Debris Classification Estimated, CYs, or Actual Weight Vegetation ❑ C &D ❑ White Goods y ❑ HHW ❑ Other* See Belcw Time Date Inspector /Monitor Unloading DMS Name arrd Location "Other Debris Explanation Crigirial: Applicant Copy 1: Copy 2: Copy 3, Load Ticket Ticket No. ,r-,r.!� Municipality (Applicant) P im Go rac r r A � .5 Y , A 100 wp o > 6 � s� Sub - Contractor Truck Na Capacity 1`115' 3v w2 I)- Truck Driver (print legibly) Time Date Inspector /Monitor Loading �v tin i►�� n A„1 Zt ' "X5 et Location (Address or Cross Stres) Debris Classification Estimated %, CYs, or Actual Wei Vegetation C &D ❑ White Goods ❑ HHW ❑ Other See Below Time Date In ector /Monitor Unfoaderig DMS Name and Location (10 1 *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3_ ,► l 5 k t Load Ticket Ticket No. Municipality (Applicant) P im Co rac r 4W t 3 w�a �I sim of 67S A� �'�� Ail Sub- Contractor �� Truck No �.�� l/ L/ L jc Capacity Truck Driver (print iegibiy) Time Loading Date Inspector/Monitor Location (Address or Cross Streets) N_�.7) �7,(66 w X63 Debris Classification Estimated % CYs, or Actual Weight Vegetation [] C &D ❑ White Goods r ❑ HHVV d ] Other* See Beiow Tirre Da Inspector /Monitor Unloading DMS Name and Location �g 1101 04j ,103 �� B��9t� �"��s��e 39/F47 *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Ticket No. Municipality (Applicant) im Con rac r g a Sub -Contr cto Truck No Capacity Truck Driver (print legibly) Awl rnn(er" Time pate lnspectorlMonitor Loading a lk7- 7 rP Location (Address or Cross streets) N Debris Classification Vegetation ❑ C &D ❑ White Goods HHW ❑ Other* See Below Time Unloading 4 )&-1 W Estimated %, CYs, or Actual Ye Inspector /Monitor DMS Name and Location 'Other Debris Explanation Original: Applicant Copy t: Copy 2: Copy 3: ht Load Ticket Ticket No. Municipality (Applicant) P im Con raij r A I A A4 80 o .4o6 40 Aar,. Sub- Contracto Truck No Capacity Truck Driver (print legibly) 4N Loading Time Date InspectorIMonitor f�y1 IIo ocatfon (Address or Cross Streets) I N ti c1 Debris Classification Estimated °fo, CYs, or Actual Wei Vegetation ❑ C &D ❑ White Goods HHW c� ❑ Other* See Below Time Date InspectorJMon'tcr [Unloading f J DMS Name and Location A 8 8� Il i �alr 0454Rtf 6°WaJc, 99 i%f7 *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy I Cued Ticket Ticket No. M 4� Municipality (Applicant) P im Con rac r i A a g �E 100"ro Pes Sub -ConAM Truck No Capacity Truck Driver (print legibly) F'mcAnvt1 I u1 S Time Date Inspector /Monitor Loading Moo i� Locatien (Address or Cross Stre ts) 5. 700 Ave Debris Classification Vegetation C &iD ❑ White Goods HHW ❑ Other* See Below Time Unloading {? ;�;r w Estimated %, CYs, or Actual Weight Date r /Monitor DMS Name and Location 1'?0 V IQ 10S -5 -, PioAM6, 9^21167 *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Tick Ticket No. Municipality (Applicant) 9 P CorjtLracjgr rA AA41 14-WSIX 100S70 A176 jiE Sub- Contracto AA 4 4 eA" 6 �12fimwxw TTLIck No Capacity rm S 07, 1 01c) Truck Driver (print legibly) Time Date Inspector/Monitor Loading --[(i ' Location (Address or Toss Streets) AvK Ewx m nv w 0- N �w Debris Classification Estimated % CYs, or Actual Weight Vegetation C&D ❑ White Goods HHW ❑ Other* See Below — Time U T n1oading j Date Inspector/Monitor \k DMS Name and Location il 0 1 0 tJ IoZ , -s—il AA&i-�J- �°(mja- '291q7 *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Egad Ticket Ticket No. 1/) - - - Municipality (Applicant) PP im Go rac r a .0o� w'l 10C,SO A-�6 e9 Sub- Contract: SS 13 6, ' Truck No C1 T- ) P-U LLB Capacity Truck Driver (print legibly) Time Date Inspector /Monitor Loading Location (Address or Crass Streets) �� Lr� EY Use` ,g p?: nn Debris Classification Estimated %fl, CYs, orActuai Weight Vegetation ❑ C &D ❑ White Goods ❑ HHW ❑ Other* See Below Time Date In s e for /Monitor Unloading ff/ (V , DMS Name and Location *Other Debris Explanation Frig . Applicant Load Ticket Ticket No.S Municipality {Applicant} Alm Co a" S Sub- Contracto ■ Truck No Capacity nns Truck Driver (print legibly] �s5e � i a3C7 (l a'1 Time Date ff Inspector /Monitor Loading Location (Address or Cross Streets) W-%-0- t -II Debris Ciassification Estimated %, CYs, or Actual Wei Vegetation ❑ C &D ❑ Write Goods ❑ HHW ❑ Other* See Below 9j Unloading Time Date Inspector /Monitor W ; e__, DMS Name and Location t'7 v i t) 4) 10 z ` -'` 's I o Ass 's f f; w(s `"A c, g s l q 7 *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Ticket No. my Municipality (Applicant) P im Contras r of 14 4 V, i <" sm r Sub- Contractor Truck No Capacity Truck Driver (print legiEy) Tim2e Date Inspector/Monitor 4tLoading � • J0 ' lilt Location (Address or Cross Streets) �D �> N a W . Debris Class;; ication Estimated, %, CYs, or Actual Weight Vegetation ❑ C &D ❑ White Goods ❑ HHW 9616 ❑ Other' See Below Time Date Inspector /Monitor Unloading - - 19 =7 JA- DtltlMS,FTN11ame and Location P G "Other Debris Explanation TOriginal: Applicant Copy 1: Copy Z: Copy 3: Load Ticket Ticifet No,��t. Municipality (Applicant) P im Con rac r i O ff" O jV 6 4),F, Sub-Contracto Truck No f Capacity Yfl� # Truck Driver (print legibly) f5�10 (jxj .; Time Date Inspector/Monitor Loading Location (Address or Cross Streets) N� N I Debris Classification Estimated %, CYs, or Actual Weight Vegetation ❑ C &D [❑ White Goods ❑ HHW d ❑ Other* See Below Time Date Inspector /Monitor Unloading t L DMS Name and Location 1,101 f0o 10Z 4- *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Ticket No.{ Municipality (Applicant) pp P im Con rac r _Cvwu�4 V, S u o 00S �f 64 `,� S Truck No Capacity Truck Driver (print legibly) Cma h G` t LV s S Time Loading + Location (Addregs or Cross StrE Debris Classification Vegetation ❑ C &D ❑ Write Goods ❑ HHW ❑ Other* See Below Time tfnloadi 19 —7 _ DMS Name and Location` 1'7 0 � tj &) 103 ¢x'' -Sy, *Other Debris Explanation Date Inspector /Monitor 1 o/ i L_siirl M0 r r I) S) M Estimated %, CYs, or Actual P Date 7 Inspector /iVlonitor Original: Appiicant Copy 1: Copy 2: Copy 3: t S (c f E, (14A(- Load Ticket Ticket fro. .� � v Municipality (Applicant) P im Co rac r rvi s 1006-0 '' - Sub- Contracto Truck No �j Y ri? v C- tc Capacity 6 Truck Driver (print /legibly) LcJS l /.�%S 17 7.7 Time Date fnspector /Monitor Load in L/ /o rb l- 7��s�c Location (Address or Cross Streets) en1L sing P ;. i:,,a, 's3 �:rna. Debris Cfassification Estimated %, CYs, or Ac ual Wei ht Vegetation C &D ❑ White Goods . HHW ❑ Other* See Below Time Date Inspector /Monitor Unloading DMS Name and Location 1-7 ® 9 10 0 10 Z -ST— PioAgi r � ti ��a�e, a9 7 "Other Debris Explanation Original_ Applicant Copy 1. Copy 2: Copy 3_ fLoad ic- ket Ticket No. Municipality (Applicant) NN F ime Contrae r 4 'AaI �C VwI s- ,00so '' Sub Contractor " bow Truck No Capacity , Truck Driver (print legfbiy) Time date fns ector Loading /Monitor Locations (Address or Cross Street ,. Debris Ciassincatior Estimated Yc, CYs, or Actual Wei lit Vegetation ❑ C &D ❑ White Goods ❑ HHW Other* See Beiow 95 Time Date Inspector /Monitor Unloading '04 DMS Name and Location �I *Other Debris Explanation Original: Applicant Copy I: Copy 2:. Copy 3: Load Ticket Ticket No. Municipality (Applicant) P im on rac r rA i.40A I C ifs-C,5,S, IL4(- 4 sit a 00 SO Pi5 '06 ' Sofa- Contractor 69 1,39P Truck No r Capacity Truck Driiver (print legibly) V Tirne ate "n.soector /Monitor Loading Location (Address or Gross treets)U /Z&I - �N Debris Ciassifcation Estimated , %, CYs. cr Actin, 'Aei ht Vegetation ❑ C &D ❑ White Goods ❑ HHW ❑ Other" See Below Time Date lnsp ctorlMonitor UrlfCJaddd7t,� OMS Name and Location "Other Debris Explanation TOrig!nal- A pplicant opy 1: opy 2: opy 3: