MSV FHO 1.22.1841ISFM Services, Inc. LOAD T I C K E T
TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE:
DEBRIS QUANTITY
TRUCK NO.:
CAPACITY:
LOAD ESTIMATE { %):
TONS (SCALED):
TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
BURNABLE
NON - BURNABLE
MIXED
OTHER
LOCATION
LOAD ORIGIN (STREET NAME):
SECTION /AREA:
DUMPSITE:
TIME
INSPECTOR
LOADING
DUMPING
COMMENTS:
WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAULER'S COPY GOLD: SFM COPY
MVZ;
WASTE MANAGEMENT
"I certify that the waste I delivered to this facility on this date does
not contain any regulated hazardous, toxic, radioactive waste or DRIVER: PLEASE SIGN HERE
substances, or other non - allowable wastes. I also agree to remove any
non - allowable wastes I bring to this facility, or pay all costs for proper
removal of such wastes, upon request from this facility ".
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TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE:
TRUCK NO.:
LOAD ESTIMATE ( % }:
TRUCK DRIVER NAME:
LOAD TICKET
DEBRIS QUANTITY
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TONS (SCALED):
DEBRIS CLASSIFICATION
BURNABLE
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LOAD ORIGIN (STREET NAME):
SECTIONIAREA: DUMPSITE:
TIME
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INSPECTOR
WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAULER'S COPY GOLD: SFM COPY
NAGEMEnff
VlDnat•ch Hi 11 Ow-i y in& I
2700 NW 48th Sttle
Pow pan 0 Ticket# U'31,07i�
F . vach, R.- _,,..'k476
Ph: (954) 98420004
C'05tomel Name VMMIRMISHOREVILLHURP SFh'
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1 certify that the waste I delivered to this facility on this date does
lot contain any regulated hazardous, toxic, radioactive waste or DRIVER: PLEASE SIGN HERE
ubstances, or other non-allowable wastes. I also agree to remove any
on-allowable wastes J bring to this facility, or pay all costs for proper
almOval of such wastes, upon request from this facility".
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41ISFM
Services, Inc. LOAD TICKET
TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE:
DEBRIS QUANTITY
TRUCK NO.: CAPACITY:
LOAD ESTIMATE ( %): TONS (SCALED):
TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
LUGATIUN
LOAD ORIGIN (STREET NAME):
SECTIONIAREA: I DUMPSITE:
TIME I INSPECTOR
LOADING
DUMPING
COMMENTS
WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAULER'S COPY GOLD: SFM COPY
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'I certify that the waste I delivered to this facility on this date does PLEASE SIGN HERE
-iot contain any regulated hazardous, toxic, radioactive waste or DRIVER:
Substances, or other non - allowable wastes. I also agree to remove any
ion- allowable wastes I bring to this facility, or pay all costs for proper
,emoval of such wastes, upon request from this facility ".
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41ISFM
Services, Inc. LOAD TICKET
TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE:
DEBRIS QUANTITY
TRUCK NO.: I CAPACITY:
LOAD ESTIMATE ( %): (TONS (SCALED):
TRUCK DRIVER NAME:
Ut01111a CrLA7?IFIGATION
BURNABLE
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MIXED
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LOCATION
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SECTIONIAREA:
DUMPSITE:
LOADING
TIME
INSPECTOR
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WHITE: SFM COPY
YELLOW: OWNER COPY PINK: HAULER'S COPY GOLD: SFM COPY
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Custower, Name SFIMMIAIMIS44OREVILLHURR SFM 'SER Carr•iei,
Ticket Late Qli /22'/21018
Vehicle#
Payment Type Credit Account
Cants ;i.nei,
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THANK YUU t
f
F'0100 1.
50 ;fit 1
45040 i
Product L1)% 91,Y UOM P.ei:e Fee flaor_rstt Origin
4` @IY -RGC DISASTER 3r. 00 MTAMIDAVE
"I certify that the waste I delivered to this facility on this date does DRIVER: PLEASE SIGN WERE
not contain any regulated hazardous, toxic, radioactive waste or
substances. or other non - allowable wastes. I also agree to remove any
non- allowable wastes I bring to this facility, or pay all costs for proper
removal of such wastes, upon request from this facility ". f cr i I F J s
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Product L1)% 91,Y UOM P.ei:e Fee flaor_rstt Origin
4` @IY -RGC DISASTER 3r. 00 MTAMIDAVE
"I certify that the waste I delivered to this facility on this date does DRIVER: PLEASE SIGN WERE
not contain any regulated hazardous, toxic, radioactive waste or
substances. or other non - allowable wastes. I also agree to remove any
non- allowable wastes I bring to this facility, or pay all costs for proper
removal of such wastes, upon request from this facility ". f cr i I F J s
41ISFM LOAD TIC K ET Services. Inc.
TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE:
DEBRIS QUANTITY
TRUCK NO.:
CAPACITY:
LOAD ESTIMATE ( %):
TONS (SCALED):
TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
BURNABLE
NON- BURNABLE
MIXED
OTHER
LOCATION
LOAD ORIGIN (STREET NAME):
SECTIONIAREA:
DUMPSITE:
TIME
INSPECTOR
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COMMENTS:
J
WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAULER'S COPY GOLD: SFM COPY
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Or, 0161.
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Pn: k954,
Customer Name SF141141AMISHOREVILLHURP SFM �ER. Car4ey,
Ticket DAte 011 / 2a.! LO 1, 8 I Qehi 1e
Payment T-pe Credit -Account i on rtes
Man�_tet Ticket# Or 1, r
HatAing Ticket# Chellk#
Rat tt e 6,'1 il -.t) n g # 0013072
State Waste Code 6 famu . P (A .'.D
5643 y Uri
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"I certify that the waste I delivered to this facility on this date does DRIVER: PLEASE SIGN HERE
not contain any regulated hazardous, toxic, radioactive waste or
substances, or other non-allowabie wastes. I also agree to remove any
non-allowable wastes I bring to this facility, or pay all costs for proper
removal of such wastes, upon request from this facility".
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TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE;
DEBRIS QUANTITY
TRUCK NO.:
CAPACITY:
LOAD ESTIMATE { %):
TONS (SCALED).
TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
BURNABLE
NON - BURNABLE
MIXED
OTHER
LOCATION
LOAD ORIGIN (STREET NAME):
SECTIONIARE_A
TIME
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COMMENTS:
DUMPSITE:
INSPECTOR
WHITE; SFM COPY YELLOW; OWNER COPY PINK; HAULER'S COPY GOLO- SFM COPY
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I LU1 Lily UldL ine waste 1 cleliverea to this facility on this date does
not contain any regulated hazardous, toxic, radioactive waste or DRIVER: PLEASE SIGN HERE
substances, or other non-allowable wastes. I also agree to remove any
non-allowable wastes I bring to this facility, or pay all costs for proper
removal of such wastes, upon request from this facility".
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TICKET NUMBER; , LOAD TI C KE T
CONTRACT OWNER:
HAULING COMPANY:
DATE:
TRUCK DEBRIS QUANTITY
NO.:
LOAD ESTIMATE CAPACITY:
TRUCK DRIVER NAME: TONS {SCALED }:
DEBRIS Cf_gSSfFICATfON
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TIME
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PL. A04Rt # AN*
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)-stances, or other non - allowable wastes. I also agree to remove any LEASE SIGN HERE
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MIAMI ADE
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TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE: j - �) q-
I d� DEBRIS QUANTITY
CAPACITY:
TRUCK NO.:
TANS (SCALED):
GOAD ESTIMATE ( 0
TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
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SECTIONIAREA:
DUMPSITE:
TIME INSPECTOR
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"I certify that the waste I delivered to this facility on this date does DRIVER: PLEASE SIGN HERE
not contain any regulated hazardous, toxic, radioactive waste or ,
substances, or other non - allowable wastes. I also agree to remove any
non - allowable wastes I bring to this facility, or pay all costs for proper -
removal of such wastes. upon request from this facility ".
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41ISFM
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TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE: ( �L �n - g
I Q
DEBRIS QUANTITY
TRUCK NO.: 5 CAPACITY: [j 3
LOAD ESTIMATE ( %): /f / L TONS (SCALED):
TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
LOCATION
LOAD ORIGIN (STREET NAME):
SECTION /AREA:
DUMPSITE:
TIME
INSPECTOR
LOADING
DUMPING
COMMENTS
WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAULER'S COPY GOLD: SFM COPY
Mr-r/a77�a7rch Hill frJr iga�ial {
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Ph: (954) 984-2000
C�.rstomer Name GFMMIAMTGHORIEVIL4_HURR 8F'M SER Carriers: '�F14MiiPMI`.•,HORF1111' PURR
Ticket Date s01/22/2018 ':�phicl#
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Payment Type Credit f4ccount Contaii r�
if
h4alival Ti <_ket#4 Driver';.
Hauling Ticket# Check#
RR ote 3zllin''�## 00131.3 7?
State Waste Code (j en EP ID
Manifest 5647 Grid
Destination
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Profi I e 0
Generator t
Time Scale Operator r, Inbound Gross 78120 1b
In 01 /2-? /2018 13151:3 e c }�}4 tr ,.. Taro 350 l.b
(jut (01/2 2/2016 1G 13:51c 3c �ri Net 43O60 lb
y �:' �`
Tons 21.53
c
Comments plarar•d 95-133
THANK YOU!
`'r odra.ct LDA Uty UUM >4t to Fee Amo+ant Origin
49@1Y••-Rt3C DTSASTER 110 86.00 Var ds MIAMIDAI?E
it
1
`I certify that the waste I delivered to this facility on this date does DRIVER: PLEASE SIGN HERE
iot contain any regulated hazardous, toxic, radioactive waste or
substances, or other non - allowable wastes. I also agree to remove any
ion- allowable wastes I bring to this facility. or pay all costs for proper
�emoval of such wastes, upon request from this facility ".
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SFM LOAD TICKET
Services, Inc.
TICKET NUMBER:
CONTRACT OWNER;
HAULING COMPANY:
DATE: j- � ` b-
DEBRIS QUANTITY
TRUCK NO.: /{fj CAPACITY:
LOAD ESTIMATE ( %); c,(� . b TONS (SCALED):
TRUCK DRIVER NAME: (Jv
DEBRIS CLASSIFICATION
BURNABLE
NON - BURNABLE
MIXED
OTHER IV
r LOCWtION
LOAD ORIGIN (STREET NAME):
SECTIONIAREA: I DUMPSITE:
TIME
LOADING / F
DUMPING I
COMMENTS:
INSPECTOR
WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAULER'S COPY GOLD: SFM COPY
VVI
WASTE MANAGEMENT'
';' I tTl i na 1
2700 NW 48th Street
Pompano Beach, FL., 33073
Phi {954i 954-20
Monaech Hill
Customer Name SFMMIRNiISHORI VILI -HURR
SF14 SER Cat'rier
i icket Date 01/e3/2018
Vehicle#
Payment Type Credit Account
Container
Manual Ticket#
Driver
Hauling Ticl;et#4
Check#
Route
Billing #k
'state Waste Code
Lien EPA I0
Manifest 5648
Grid
Destination
PO
Py-of ile
Ticket# 1198054
5f= MM 1 d tM f SF{QRE ",? I LHURR
405-405 VoltAme
001 3072
Tint +Ope t0 rfn Inbound
1F1 01/23/j:018 05C57: ..' 4 ut' i L
Last. 01 /23 /cOIS 05t57: 14 PS1.1ARC.
Comments PLACARD #
.IHI; YOU!
Y
Product LD% Oty LOM Rate Fee Amount
1 4901Y-RGL DISASTER 100 72.00 -Yaf' -d MIAMIDADE
i ,Cruiy rriaL Lfie waste 10euvereCl to this facility on this date does
not contain any regulated hazardous, toxic, radioactive waste or DRIVER: PLEASE SIGN HERE
substances, or other non - allowable wastes. I also agree to remove any
non - allowable wastes I bring to this facility. or pay all costs for proper
S•offloval of such wastes, upon request from this facility ".
40'0NMFL
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Product LD% Oty LOM Rate Fee Amount
1 4901Y-RGL DISASTER 100 72.00 -Yaf' -d MIAMIDADE
i ,Cruiy rriaL Lfie waste 10euvereCl to this facility on this date does
not contain any regulated hazardous, toxic, radioactive waste or DRIVER: PLEASE SIGN HERE
substances, or other non - allowable wastes. I also agree to remove any
non - allowable wastes I bring to this facility. or pay all costs for proper
S•offloval of such wastes, upon request from this facility ".
40'0NMFL
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41ISFM
Services, Inc. LOAD TICKET
TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE:
DEBRIS QUANTITY
TRUCK NO.:
CAPACITY:
LOAD ESTIMATE ( %):
TONS (SCALED):
TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
BURNABLE
NON - BURNABLE
MIXED
OTHER
LOCATION
LOAD ORIGIN (STREET NAME):
SECTION/AREA;
DUMPSITE:
TIME
INSPECTOR
LOADING
DUMPING
COMMENTS:
WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAUL'ER'S COPY GOLD:: SFM COPY
Vv7a'
WASTE MANAGEMENT;
Monarch Hill.
2700 NW 48th tit,
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Ticket # 1197504
Cl-tstdmer^ Nape SF'MMIAMIGHOREVILMURR
Ticket Date 01122412018
'_;FM
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SF*i:tOMISHOREVZI HURR
Payment T.,pe Credit ACCOLInt
Vetricle#s
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Destination
Cir -� 1+1
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moval of such wastes, upon request from this facility "'.
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DRIVER- PLEASE SIGN HERE
l.1
41ISFM,-
service:, Inc. LOAD TICKET
1 TICKET NUMBER:
k,vry I KA( I UINNLR:
HAULING COMPANY:
DATE:
DEBRIS QUANTITY
TRUCK NO.: CAPACITY:
LOAD ESTIMATE ( %): TONS (SCALED):
TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
BURNABLE
NON - BURNABLE
MIXED
LOCATION
LOAD ORIGIN (STREET NAME):
SECTIONIAREA: DUMPSITE:
TIME INSPECTOR
LOADING
DUMPING
COMMENTS
WHITE: SFM COPY YELLOW; OWNER COPY P'INK7 HAULER'S COPY GOLD: SFM COPY
WASTE MANAGEMENT
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not contain any regulated hazardous, toxic, radioactive waste or DRIVER: PLEASE SIGN HERE
substances, or other non-allowable wastes. I also agree to remove any
'1011-allowable wastes I bring-to this facility, or pay all costs for proper
-eMoval of such wastes, upon request from this facility".
411EE N!s,� ^�•
LOAD TICKET
TICKET NUMBER:
CONTRACT OWNER:
HAULING COMPANY:
DATE:
DEBRIS QUANTITY
TRUCK NO.:
CAPACITY:
LOAD ESTIMATE (° %):
TONS (SCALED):
TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
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LOAD ORIGIN (STREET NAME):
SECTION /AREA: DUMPSITE.
TIME INSPECTOR
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WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAULER'S COPY GOLD: SFM COPY
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5 "r:, 4 V0111me
001:541 7 c1
"I certify that the waste I delivered to this facility on this date does DRIVER: PLEASE SIGN HERE
not contain any regulated hazardous, toxic, radioactive waste or
substances, or other non - allowable wastes. I also agree to remove any
non - allowable wastes I bring to this facility, or pay all costs for proper
removal of such wastes, upon request from this facility ".
465L'VMFL `�