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TICKET NUMBER:
CONTRACT OWNER:
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DATE:
DEBRIS QUANTITY
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LOAD ESTIMATE ( %):
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TRUCK DRIVER NAME:
DEBRIS CLASSIFICATION
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WASTE MANAGEMENT'S
'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
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Services, Inc. LOAD TICKET
TICKET NUMBER:
CONTRACT OWNER:
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DATE:
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TRUCK DRIVER NAME:
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SECTION /AREA: I DUMPSITE:
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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
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non - allowable wastes I bring to this facility, or pay all costs for proper
removal of such wastes, upon request from this facility ".
405WMFL
41ISFM
Services. Inc.
LOAD TICKET
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Monarch Hi.1 1
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iot contain any regulated hazardous, toxic, radioactive waste or
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WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAULER'S COPY GOLC: SFM COPY
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2I00 NW 48th Street
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Rh: ?9541 984 -2000
Manarch Hi I I
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Ticket Late oilegl2ela
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SFMM IAM I SHi1RE V I LAURR
00- -761 Volume
O013072
"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
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"I certify that the waste 1 delivered to this facility on this date does
not contain any regulated hazardous, toxic, radioactive waste or DRIVER: PLEASE SIGN HERE
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271ft Nod 48th Street
P"Pano Beach. FL.' - 33073
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VWn.
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Monarch Hi II
2700 NW 48th
Pompano Reach, FL., :307:
Ph: i 954 f 984 - -2000
Custonet~ Name SF'MMIAMISHOREViLLHURR SFb! SER Carrier
Ticket gate 01/29/2018
Vehicle#
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6F MM 1411 SHOREV I LHURR
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not contain any regulated hazardous, toxic, radioactive waste or DRI ERE
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not contain any regulated hazardous, toxic, radioactive waste or DRI ERE
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Monarch Hill
2700 NW 48th Street
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Ph: ( 954) 984- -2@@
Original
Ticket# 1202087
Customer Mare SNNIAMISHQREVILLNURR SFM SER Carrier SFMMIAMIS14DREVILHURR
Ticket fate 01/29/2018 Vehicle# 272 -482 Volute
Payment Type Credit Ac:c:ottnt Container
Manual Ticket# Driver
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Route Billing # 0013072
State Waste Code .Gen EPA 1-0
Manifest 5513 Priid -
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"I certify that the Waste I delivered to this facility on this date does
not contain any regulated hazardous, toxic, radioactive Waste or C3RIV PL S RE
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 Total Fees
removal of such wastes, upon request from this facility". Total Ticket
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�!700 NW 48th Street
Pompano Beach, FL, 33873
Ph: (954) 984-200a
Ticket Date 01/29/2018
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Comments PLACARD
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LD%
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94.00
--------------------
Yards
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QRIVER'PLEASES|GWMERE
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"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
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Product LDn Uty jum kate Fee Amount Ut -igin
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wva. Moaar'ch Ni I I
WASTE MANAGEMENT 2700, NW 48th Original
Tick -et
PORPanQ Beach, F!_,
Ph: (95ii)
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Ticket 1)ate 01129ia-018 iir WMINIAMISHOREVILHURR
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DEBRIS CLASSIFICATION
LOCATION
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WHITE: SFM COPY YELLOW: OWNER COPY PINK: HAULER'S COPY GOLD: SFM COPY
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WASTE MANAGEMENT M2_,o&rQij Hill Original
�)O@ NW y80 Str,e,�t Ticket# 12-'0222,74S
POMPanu (teach, FL, 33071-:1
Ph: (950 984--E-000
Customer Name SF14MIAMISHORIEVILLHURR'SFM SER Cart-get-' SF_MftIIAM18*HORE�TLHURR
Ticket Date W/29/201a Vehicle# 00-761 Valuffiv,
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141AMIDADE
"I certify that the waste I delivered to this facility on this date does
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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DRIVER: PLEASE SIGN HERE
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