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GC TO DMS 1.3.18Load Wicket Ticket No. Municipality (Applicant) P im Con rac r 114 s A� JA 111WIS 10 a °o o 6 , ; Sub- Contractor - Truck No Capacity 1l CR Truck Driver (print legibly) /1 IN ., e I Date onitor Loading Location (Address or Cross Streets) ! N jW Debris Classification Estimated %, CYs, or Actual Wei ht Vegetation ❑ C&D White Goods [� HHW Q ❑ Other* See Below Time Date InspectorlMonitor Unloading D{MpS Name and Location Oz.) g �g } r� *Other Debris Explanation Original: Applicant Copy I: Copy 2: Copy 3: Load Ticket Ticket No. D�- Munic papplity (Applicant) V a F im Con rac r UP ioraSo , �* � ARMI&IN d-4 MOVE jl�tf Truck No �b Truck Driver (print legibly) Cdd�Q? Capacity 67?6 Time Date inspector /Monitor Loading R omo it Location (Address or Cross Streets) ICWO titsMVr\.e J� vc3, m.c►r in' �, 33�3g iw Debris Classi;Betcw Estimated %, CYs, or Actual Weie Vegetat ❑ C &D ❑ White G ❑ HHW ❑ Other" S Date Inspector /Monitor [} 1'l i Of a C� i li-i DMS Name and Location "Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Ticket No. Municipality (Applicant) OP',4rncon rac r I ( neF A e- 1 S g �r0so 6 e �gl A),f Sub- Contractor a s p{ 611 � JWJ Truck No Capacity 10ko G Truck Driver (print legibly} f Date Inspector /Monitor Loading Lil Location (Address or Cross Streets) 0000 ' ;sco,y►�.e� �lud . al; ayv , ►Fz 33 �3 ... Debris Classification Estimated • %, CYs, or Actual Weight Vegetation ❑ C &D ❑ White Goods ❑ HHW : p ❑ Other* See Beiow Time Date) Inspector /Monitor Unloading 1 y 2 7 / � d 7M DMS Name and Location *Other Debris Explanation Original: Applicant Copy is Copy 2: Copy 3: Load Ticket Ticket Na. OA- Municipality {Applicant) qq r P im Con rac sf� Sub - Contractor dAM Truck No Capacity I C��F Truck Driver (print legibly) e nj' CA 'nn + Y-\, Date Time lnspector /Monitor 7 Loa ding g 113 %o1g Location (Address or Cross Streets) MOO �U, SCG h 2 �,j � � , W"O'i R. 3313 N W Debris Classification Estimated %, CYs, or Actual Wei g! Vegetation ❑ C &D ❑ White Goods ❑ HHW [J Other See Below Time Date Inspector /Monitor Unloading I/ I 7sm DMS Name and Location V701 fjo 103 �s "� a��r �'01, ajc, EgI47 "Other Debris Explanation TOriginaOriginal: Applicant opy t : opy 2: opy 3: Load Ticket Ticket No. Municipality (Applicant) P im Con rac r rA a US e o v v fi"�e � Z Sub-Contract o g �'� 1, iI f 4U Truck No �5A � Capacity Truck Driver (print legibly) r Time Date Inspector /Monitor Loading Location (Address or Cross Streets) C) 000 —f' ,c rn, ,rr2- `3313$ N I Debris Classi;Balow Estimated %, CYs, or Actual Vegetation ❑ C &D Wh to G ❑ HHW f� ❑ Other* S ne Date Inspector /Mo 1 /3 1 � r Unloading DMS Name and Location (101 [j 4.d 10 *Other Debris Explanation Original: Applicant Copy I.- Copy 2: Copy 3. Load Ticket Ticket No. 0Co Municipality (Applicant) Rim Contrac r A4 I Aim a C a �, iA S,10 i000 o pe- e9 ",a Ajr Sub - Contractor 4-4 1,3ff Truck No Capacity Truck Drier (print legibly) Ten, J'a M-I K-N- me Bate fns ector /Mcnitar T Loading Location (Address or Cross Streets) 10000 -!A Ct ayne -j�.Ivd �Grrti`, L 3313 WIN N 1w Debris Classi;63elow Estirnatedf %, CYs, or Actual Weight Vegetat ❑ C &D [] White Goods ❑ HHW Others Sme Date Inspector /M onitor U�n[oadalrl DMS Name and Location *Other Debris Explanation Original= Applicant Copy 1 Copy 2; Copy 3: Load Ticket Ticket No. (}`�' Municipality (Applicant) im Con rac r JJaec 10O .006 e� "0A AJ4 Sub- Contractor Truck No Capacity_ 153 ,0 / Truck Driver (print legibly) �u s f f Time Date fns ector /Monitor Loading Location (Address or Cross Streets) N 000 -& WA /ymc ��. PYl a,ry, ;, r'Z 3 3 ►3 w Debris Classification Estimated %, CYs, or Actual Weight Vegetation C &D ❑ White Goads ❑ HHW Other* See Below [J Time Da #e lns ector /Monitor Unloading 1%3 f DMS Name and Location (101 6) 4) 103�� Sir oAm`r =t�� . a9147 *Other Debris Explanation Criginal: Applicant Copy 1- Copy 2: Copy 3: Load Ticket Ticket die. (31 Municipality (Applicant)MI'm Cc �n� r #4 a AA4 i -C 1"41 e Is 1,005 -0 �f- e9 'A s t qj Truck No Capacity Truck Driver (print legibly) E cW Me Time Q te inspector /Monitar Loading o+ Location (Address or Cross Streets) N 1w Debris Cfassi;Beiow Estimated %, CYs, or Actual Wei Vegetat ❑ C &D ❑ White G ❑ HHW l/ ❑ Cther* Sme Date Inspeycttc r /Monitor Unloading DMS Name and Location ``Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket ITicket No. vq Municipality (Applicant)11 P im Contras r 106'0 I-;a e '-1 M s Suit- Contractor Aff a es � Truck No Capacity Truck Driver (print legibly) ` ,e ;cx Loading Time Date Inspector/Monitor =s4 Location (Address or Cross Streets) iii N w Debris Classification Estimated %, CYs, or Actual Weight Vegetation ❑ C &D q (7) ❑ White Goods ❑ HHW ❑ Others See Befovtir Time Date Inspector /Monitor Unloading 1/3 �$ � � J DMS Name and Location *Other Debris Explanation Figi Applicant Load Ticket Ticket No. �© Municipality (Applicant) tSub-Contr ontrac r Aim I is . � i < . �� a 00670 e- � � cto Truck No 2 Capacity Truck Driver (print legibly) ,r 011.5 Time Date Inspector /Monitor Loading I 0-/& r Location (Address or Cross Streets) 0dU fzscaY^A NVd,ffI ;c,m 13$ N W Debris Classification Estimated %, CYs, or Actual Weight Vegetation © C &D ❑ White Goods ❑ HHW ; jr ❑ Other* See Below VV Unloading Time Date Inspector /Monitor -[ 1)/Z- DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy I Load Wicket Ticket No. Municipality (Applicant) P im Gan rac r P4 1 Am iqe'e,&C� I�V(- W- 1w, S .1 100so YO F- � 4jE Sub- Co ntracto - Z= Truck No Capacity �n Truck Driver (print legibly) Y1J(j,YY14 Y"— Loading Time Date Inspector/Monitor 1--3_1 Location (Address or Cross Streets) to(D O ,r > -h> mictmF 33�3g N �w Debris Classification Estimated %, CYs, or Actual Weii Vegetation C &D ❑ White Goods Q HHW 0 Other* See Beiow Time Date inspector /Monitor Unloading DMS Name and Location ill � Farm lox, S'� j *Other Debris lrxpianation Original: Applicart Copy 1: Copy 2: Copy 3: Load Ticket Ticket IVe. # p� Municipality {Applicant) P im Con roc r WNWIF 00so 6 eq,-, Aim Sub - Contractor Truck No Capacity Truck Driver (print legibly) sn U� Tfine Date fnspectorlMonitor 1: Loading Location (Address or Cross Streets) 10000 -S. �,CaYfl -t d, m �um� , z. 33 '3 I► w Debris Classi;Befcw Estimated %, CYs, or Actual Weight Vegetat ❑ C &D ❑ White G ❑ HHW ❑ Other* Se ©ate Inspector /M onitor UI7lQadid�� f \ DMS Name and Location *Other Debris Expianation Originai: Applicant Copy 9: Copy 2: Copy 3: