MSV FHO 1.16.18VwFa.
WASTE MANAGEMENT Monarch Hill Original
2700 NtJ 48th St:rept Ticket# 119453
Pompano beach, FL.
Ph., ( 954) 984-2000
C"stoaer, Name SI^MMIAMISHQREIIILLHURR SFM SETT Cav rier SFMMIAMISHOREt1IL.HLIRR
Tirl4et Date 0111GY2018
Vehicle* 101
Volume
playment type Cr °edit ACcoullt
'Contai.net
Man+ial TiLket#
Dr °ivel-
Haul.ing ficket#R
Uheck#
Poute
Billing it 001.3072
State Taste Code
Gen EPP, ID
Manifest "01
{3r id
Destination
PO
pr,ai'aIe (?
Gk�n�,ratur-
'Time
UAer lnb4und
Gross
iDtQO
lb
In 01/16/2-'018 1:3z50s5b Z .W 7
Ta'r'es
34760
l5
tl�..tt 01116/0018 14z2g -0S �r�1� I" 7
�**Ohu
Net
�4?5�i�
lb
Tons
21.
7 6
Comments Masi shores
.f
-THANK Y1`k I !
product LU% Qty
U001 Rate Fee
Amount
Origin
1 4901Y - -RGC DISASTER 100 80.00
Yak -d�
MIAMIDADE
'I certify that the waste I delivered to this facility on this date does
iot contain any regulated hazardous, toxic, radioactive waste or DRIVER: PL ASE SIGN HERE
substances, or other non- allowable wastes. I also agree to remove any , I, t a l Fees
ion - allowable wastes I bring to this facility, or pay all costs for proper �r ` Total Ticket
of such wastes, upon request from this facility ".
405WMFL ! `
7M
Load Ticket rnS V
Ticket -S
Municipality (Applicant) P im Co ra r
Jai i Ate: i S' qj'e` ,s b;',11. ' 4C ��i S.
1006,0. Nf- dq,d AJs Sub -Contr, t
rb +a+vs; sue¢ , Yt c 38 t3gF
Truck No Capacity
It � 1 Job
Truck Driver (print legibly)
Loading
Location (Address or Cross Streets)
1701 uW (d3rd U�,`,lr -` 3 l •7
N I
,K Vegetation
❑ C &D
❑ White Goods
❑ HHWU(
J
❑ Other' See Below
Time
Date Inspector /Mor
Unloading
1
DIMS Name and Location
I:201QQ IQ &a
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
WV27\A.
WASTE MANAGEMENT Monarch Hill Original
2700 IOW 46th Street Ticket# 1194516
Pompano Beach, FL, _13073
Ph; ( 954) 964- 2. 000
Cuz-itCoeer Name 51FMMIAMISHCIREVILLHURR SFM SER Carrier SFMMIAMISHOREVILHURR
Ticket Date 01116/2018 Vehicle# 102 Vo1"ime
Payment I *Ype Credit kr-count Contairter-
Manual. Ticket# Uri %re'r -
Hauling Ticket# heck#
12out. e Billing # 0013072
",Mate Waste Code Gen EPA 11?
Manifest 002 Grid
De 6t iri;iit ioi►
P()
Profile if
Time
In 01116/2018 13:53:16
CPit 01 ! 1.61,12018 14:a2:15
Comments miami shares
THANK YCX)
r
Scale 4 -30 pcaw ho
'3t418 3 -307 wasarho
Inbound Gross
Tare
Net
Torts
37580 1b
45360 l b
.:.a. 69
Pk'oduct LD% Qty UOM Rave Fee Amount origin
1 490tY. RG(' DISASTER i0t 88.00 :': r dr; MIAMIDADE
I certify that the waste I delivered to this facility on this date does DRIVER: PLEASE SIGN HERE
tiot contain any regulated hazardous, toxic, radioactive waste or
;ubstances, or other non - allowable wastes. I also agree to remove any L i Fee s
ion- allowable wastes I bring to this facility, or pay all costs for proper -i I { c �;a,l Ticket
emoval of such wastes, upon request from this facility ". ° , ;'
r
405WMFL
i
Load Ticket
Ticket No.
A a Awe a Oio S,s � 11 .41 e-
00SO Nrr
1%44 v 6 4044 e. <, PC& 33 IM
:K No Capacity
10C2 1
k Driver (print legibly)
Shi 5/5r/)")
Loading .......
Location (Address or Cross Streets)
��%01 d S4, , fl?f G ),A r 3 3 )¢
N
W
Original:
Copy is
Copy 2:
Copy 3:
Applicant
cs Limaieo " /o, l:rs, or Actual Wel ht
Vegetation
❑ White Goods
j
❑ HHW
o,
❑ Other* See Below
C/
Time
Date Inspector /Monitor
Unloading
DMS Name and Location
1-7f) a wHJ 1n9 , d t�
Original:
Copy is
Copy 2:
Copy 3:
Applicant