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MSV TRUCKS 10.25 LOADS
Load Tid ct Ticket No. V Municipality (Applicant) P 1 Contrac r flaw � s Sub- Contractor " JU 14 Ai'� S 0 11 i I" P- i3 g 1,3 6, IWIMI Truck Nc� Capacity Truck Driver (print legibly) F—/:)I�> �/ Time Date Inspector /Monitor Loadincg. t�.. 3� I�'a� 1�7 � <A�ff Sk � ► /.�r�l Location (Address or Cross Streets) �r lui f1 Debris Classification `sfiimated, °t °, CYs; Vegetation ❑ White Goods �] HHW ❑ Other* See Befow I Time aate Inspector /Monitor Unioading DMS Name and Location j'7 0 it fQ &) 10 4 ' ge -S r BAm � *Js,J 'a °car *Other Debris Expianatien FCopy2: Applicant 1 S k /T tf"4pi j Load Ticket Ticket No. /V\ S �� I Municipality (Applicant) F rvi I 'A I as V, i {" I S v oaSo 6 e5t "4. j i. Sub- Contractor I m4m� V;:tA. 6S # Amon Truck No C-1 T 1� -Fig UC r- Capacty - - --t� 316 4 Truck Driver (print legibly) ,>,7 k/ tz—) v Date Inspector /Monitor Loading v a t K-A"m f S Location (Address or ss Str r4 Debris Cfassir'icatian x e Estimated °la, CYs, or Actual VVei ht Vegetation ❑ C &D S ❑ White Goods (} ❑ HHW i ❑ ®ther* See Befow Time Date Inspector /Monitor Unloading j DIVIS fume and Location I *Other Debris ExpEanation Original: Applicant Copy 1: Copy 2: Copy 3: C•{, J�ri� r 4 k � �� l(� �'1 Load Ticket Municipality (Applicant) f4al }s P- Ticket No. �) P irn COntraC r .. 14— . Sub- Contractor Truck No Q -T— % J Ge cJ� Capacity Truck Driver (print legibiy) Time Date 1rispecmr /Monitor Loading D : CD Location (Address or Crass Streets) IN ; .�6`C�'�( Iw6o.r� /8� FMOMM. , cebris Ciassiricatien Estimated, °fp, CYs; or Actual Wei Vegetation ❑ C &D ❑ White Goods ❑ HHW ❑ Other" See Below Time Date lnspectOr /Monitor U1'ilCDaGtl;id;3g DVS Name and Location p r "Other Debris Explanation Original, Applicant Copy 1: Copy 2: Copy 3: Xi�jfAk- V r � �Y Load Ticket Ticket Na.`� S Municipality (Applicant) Enme Cn rac r t AiPA i ;:fir M f `1 A- -)�F- Sub- Contractor Truck No ,CST �J % /� Capacity — ,Pr 3/6i C� Truck Driver (print legibly) f--- ID j-) I/ lime Date Inspector /Monitor Loading v a.) SO -7 Location (Address or Cross Streets) TO S'T P VF xl [7ebris Classification ,Estimated• %, CYs, or Actual Weight Vegetatio n ❑ C &D f ❑ White Goods HHIN 9D o ❑ ©ther* See Below Time i Date inspe for /Monitor Unloading / jA DMS dame and Location 'Other Debris Explanation Original: Applicant Copy 1. Copy 2: Copy 3: