GC TO DMS 1.4.18Load Ticket Ticket No.
Municipality (Applicant) P im Contras r
&MI S'
m ovs-0 Iv ei � Sub Contractor
AJ-
Truck No Capacity
/153
Truck Driver (print legibly)
LoadlipLg Info
t T
Time Qate Inspector/Monitor
Loading
Location (Address or Cross Streets)
S00c) �S�ea�r -� t�lv�, Y'� yam
N !W
Debris Classification Estimated %, CYs, or Actual Weight
Vegetatton
❑ C &D
❑ White Goods
❑ HHW 6
❑ Other* See Below
Time Date Inspector /Monitor
Unloading / J� %1 b f
DMS Name and Location
`Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3.
Load Ticket Ticket No.
Municipa €ity (Appficant) P im Con rac r
i a 3 $� e6_ r * Now
10 0SO �6 ep Ajoi Sub - Contractor .
Truck Nc Capacity
-1
Truck Driver (print legibiy)
3en ;Q rM
Loading Time Date Inspector /Monitor
Location (Address or Cross Streets)
_O �► SCc�► n e 1 l w d. M "o.m FL
N I
Debris Classification Estimated °fo, CYs, or Actual Wei
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date inspector/Monitor
Unloading
DMS Name and Location
i 1 o I i0 o 10 4'
"Other Debris Explanation
Original; Applicant
Copy 1;
Copy 2;
Copy 3.
Load Wicket S•
Ticket No.
Muncipaiity (Appiicant) P irn Con roc r
9 Ie �g u. n my i SM
10 0,T0 to 6 eo -a6 r Sub-Contractor/ .
3 1� IMIM"I
Truck No l Capacity
Truck Driver (print legibly) Artje
Em I - Irl -11MIM
Tirne Date Inspector /Monitor
Leading
Location (Address or Cross Streets) 'f
IdOco Ts', w0 ,r k 'N j , wIam,
a = eDacsna
N !W
ID ebri!sC I aassificatfcn Estimated ° /a, CYs, or Actual Weight
Vegetation
❑ C &D
❑ White Goods
❑ HHVV
❑ Other* See Befow
Time Date Inspector /Monitor
Unloading
11411 � d
DMS Name and Location
nol
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No. l
Municipality (Applicant)
Rim Can rac r SHd
100so Joe ,-" s
I Sub- Contractor -
Truck No
Capacity
Truck Driver (print legibly)
-3L49rljCA
rin-,
Time
�{ Date
Inspector/Monitor
Loading
Location (Address or Cross Streets)
C OCA 3 seayr 1 y d,, m a�n,, F�L
N
Debris Classification Estimated %, CYs, or Actual Weight
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
C1
Tirne
Date inspector /Monitor
Unloading
o
DMS Name and Location
( '701 4) 10, -a
$s.€1c�
11
*Other Debris Explanation
Original. Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. 1-7
Municipality (Applicant) P im Con pi".
��, �L Sub -Con star & �4�- MdAm�
Truck No Capacity
U
Truck Driver (print legibly)
Time Date Ins ector /Monitor
Loading '
i ) -4- l6
Location (Address or Cross Streets)
N J
Debris Classffcation Estimated %, CYs, or Actual Weight
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other" See Below
Time Date Inspector /Monitor
Unloading i %��
DMS Name and Location
"Other Debris Explanation
FCd'ginal: Appficant
y 1:
y 2:
y I
Load Ticket Ticket No.
Municipality (Applicant) 14faMUSHO Con rac r
I a
00SO 6 � F- Sub - Contractor
Ai r.4 M t +
Truck No Capacity
Ic�za ,�.
Truck Driver (print legibly) A n i
Loading Information
Time Date fns ector /Manitar
Loading
Location (Address or Cross Streets)
�dcico L�� Jib► �1�C1� ftl lckrv-�,, �131r1%
N W
Debris Classification ;E,,, timated %, CYs, or Actual Weight
Vegetation
❑ C&D
❑ White Goods
HHW (J
Other* See Below
Tim inspector /Monitor
�lnf oadirIg
DMS Name and Location
1 -101 PJ
"Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2.
Copy 3:
Load Ticket Ticket No. 1C1
Municipality (Applicant)
a a� P � Con rac r *01 SHO
10 0,TO A�7f "a z Sub- Contractor
Truck No
Truck Driver (print legibly)
Time
Z () i- s
D ate
Loading
Location (Address or Cross Streets)
Capacity
2G
onitor
N W
Debris Classification Estimated %, CYs, or Actual Weight
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other" See Beiow
Time Date lnspec #or /Monitor
Unloading
11�1� r
DMS Name and Location
*Other Debris Explanation
07iginai: Applicant
Copy 1:
Copy 2;
Copy 3:
Load Ticket Ticket No. �{7
Muricipality (Applicant) p im Con rac r
9 A � Oar." �, .4 , 4 APA01 SAM
s0,o y°' , Sub - Contractor - -
Af I
Truck No Capacity f
Truck Driver (print legibly)
1L
Tim- Date Inspector/ /Monitor
Loading I*� p
Location (Address or Cross Streets) 0
1O00C1 SCay> ��C tfYl C% L 3313
N w
Debris Classification Estimated %, CYs, or Actual Weight
Vegetation
❑ C &D
❑ White Goods
❑ H f-f W 6�0
Other* See Befo�rr
Time Date inspector /Monitor
Unloading
J
DMS Name and Location
`'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket Nc. �
Municipality (Applicant) p P im Con rac r
rVA14oAl V, 100SO gf. ,�9 -JA s Sub - Contractor
G74 .11 M
Truck No Capacity
Truck Driver (print legibly)
,
�n Q iii � rL
Time Date Inspector/Monitor
Loading 1 -4-1
Location (Address or Cross Streets)
N yv
Debris Classification LDate stimated %, CYs, orActuai Weight Vegetation
C &D
❑ White Goods
❑ HHW
❑ Cther* See Below
Time InspectorlMonitor
UnfOadda�g O /
DMS Name and Location
*Other Debris Explanation
Original_ Applicant
Copy 1:
Copy 2:
Copy 3:
-44%%
Load Ticket Ticket No.
Municipality (Applicant) pp qq P im Con rac r
rA I A 44 1 jC- oes e , � ,4� 4 Sim
,f.< V
100so fi-�f ,-, a Sub- Contractor
o IAA *s 6 d ' i� S Iwo f
Truck No Capacity
)523 0� (�
Truck Driver (print legibly)
zu ks
Time Date f----- 4or/Mcnitor
Loading
L
L:: , I
ocation (Address or Cross Streets)
CX 6 o►Yr�.c ZW 4A, 'rY't' uY.Y;1, �Z 3313`
N I
I aeons Liassmcation Estimated %, CYs, or Actual Wei
Vegetation
❑ C &D
❑ White Goods ��++,
[� HHW V
❑ Other* See Below
Time Date inspector /Mcnitcr
Unloading
DMS Name and Location
1'191 04)
"Other Debris Explanation
Originai: Applicant
Copy
Copy 2:
Copy 3:
Load Wicket Ticket No.
Municipality (Applicant) P' im Contrac r
sow=.fla�
Sub- Contractor '
Truck No Capacity
1609f
Truck Driver (print legibly)
Time Date Inspector/Monitor
Loading
Location (Address or Crass Streets)
X60cO 7 . Se. y r-e_ M 4rn,
N �w
Debris Classification =Stimated %, CYs, or Actual Wei ht
Vegetation
C &D
White Goods ,/.
❑ HHW V
[] Other* See Befcw
Time Date Inspector /Monitor
Unloading .
DMS Name and Location
1_701 00 do s,
r
"Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket et Ticket No.
Municipality (Applicant) P im Con rac r
10 OSO YO 6 `� A),6 Sufi- Contracto `
6 ag e', a°'Icp- 6z 139P � , WO
,r,
Truck No Capacity
10
Truck Driver (print legibly)
r.
Time . ,� Date
Loading
Location (Address or Cross Streets)
seayr,k --N\/6,' M
a6. 6
Inspector /Monitor
N W
Unloading Inforinarlon
Debris Classification Estimated %, CYs, or Actual Weight
Vegetation
C &D
❑ White Goods
❑ HHW
El Other* See Below
Time Date InspectorfMonitor
Unloading
DIVIS Name and Location
*Other Debris Explanation
original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. 4X,10
Municipality (Applicant) gg tSub-Contract
Con rac r
fi ,�, 8� K e a i 1 AtIMI SM0
a0V A 0 �-' s� or
AiJAM', 6 i4ga4�;, Auw�
Tru ck No 1 15 w j Capacity
p` �,), � I � lD
Truck Driver (print iegibly)
Time Date Inspector /Monitor
Loading '
Location (Address or Crass Streets)
60403 -i�AsCCXYr--Q- s31,rd, M),C "rn',M 771- 3`31'3
N
Debris Classification
Vegetation
❑ C &D
White Goods
❑ HHW
❑ Other* See Below
Time
Unloading
W
Estimated %, CYs, or Actual
qS 6
Date Ins ector /Mo
DMS fume and Location
i' 0 a NJ 4) 10 S'4- . a -r Pik &W, I t;; a 14-7
*Other Debris Explanation
Original. Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No, 0�_ --f
Municipality (Applicant) && P im Con rac r
AIIAte& &Z V,C'4'4 + > WSM
10 O joa jE Sub - Contractor
Truck No l Capacity
Truck Driver (print legibly) rn
Time Date Inspector /Monitor
tLoading ,
Location (Address or Cross Streets)
>° eD-
N w
Debris Classification Estimated , °fo, CYs, or Actual Weight
Vegetation
0 C &D
0 White Goods
[� HHW
Other* See Below
Time Date or
Unloading
Unloading
DMS Name and Location
1-11v i i)&) 10 z 4" ,mss r aAm br €�� i e, 39147
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. oe
Municipality (Applicant) P irr3 Con rac r j r
800 o jV4 jE Sub- Contractor
Truck No Capacity
Truck Driver (print legibly) �� I
Loading Time Date inspector:/Monitor
Location (Address or Cross Streets)
1C3 `3' +Secs. r� 1.r� yy)'%cxy %,
�w
Debris Classification Estimated °l4, CYs, or Actual Weight
Vegetation
Q C &D
Q White Goods //•��
❑ HHW L�
❑ Other* See Below
Time Date Inspector /Monitor
Unloading
DMS Name and Location
(Tv9 0 0 10 �� . +°r o va, �" 23/L'7
*Other Debris Explanation
Frig Applicant